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Illinois rates for HCPCS 22861

Revj W/Rplcmt Tot Disc Arthrp Ant 1 Ntrspc Crv

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,158.00 / $4,067.15 / $6,540.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,821.16 / $2,433.56 / $4,562.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,751.57 / $33,693.19 / $67,470.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,100.58 / $4,287.38 / $5,022.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,085.84 / $3,588.66 / $4,927.22
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,646.89 / $4,186.77 / $8,970.71
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
$2,548.86 / $3,110.17 / $3,598.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $4,069.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,600.00 / $8,100.00 / $24,003.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,075.08 / $2,859.29 / $5,458.00