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Illinois rates for HCPCS 22842

Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 3 to 6 vertebral segments (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $1,621.81 / $7,762.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,981.07 / $10,715.19 / $20,892.96
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,348.96 / $7,079.46
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
$151.36 / $851.14 / $2,630.27