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Illinois rates for HCPCS 22634

Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy and/or discectomy sufficient to prepare interspace (other than for decompression), single interspace, lumbar; each additional interspace (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.00 / $988.00 / $4,634.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,196.50 / $6,837.44 / $13,691.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $14,975.00 / $19,446.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.42 / $868.11 / $3,203.18
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.00 / $891.00 / $3,685.00