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Illinois rates for HCPCS 22804

Arthrodesis Posterior Spinal Dfrm 13+ Vrt Sgm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,105.00 / $3,861.00 / $7,407.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,722.81 / $33,631.68 / $67,347.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,782.26 / $4,155.59 / $8,886.00
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
$2,421.00 / $7,842.00 / $21,651.00