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Illinois rates for HCPCS 22804

Arthrodesis, posterior, for spinal deformity, with or without cast; 13 or more vertebral segments

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $4,677.35 / $11,481.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,379.62 / $26,302.68 / $56,234.13
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $4,265.80 / $12,882.50
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
$2,398.83 / $8,128.31 / $28,840.32