go back

Illinois rates for HCPCS 22853

Insj Biomchn Dev Intervertebral Dsc Spc W/Arthrd

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.59 / $1,017.00 / $7,147.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.18 / $389.25 / $1,029.00
Aetna
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$33.40 / $76.61 / $205.80
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.42 / $282.66 / $376.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.70 / $3,633.60 / $7,276.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.73 / $460.08 / $547.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.17 / $401.02 / $582.77
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.89 / $460.43 / $1,526.67
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.88 / $338.99 / $386.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $436.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.00 / $891.00 / $3,685.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.81 / $358.20 / $609.53