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Illinois rates for HCPCS 22867

Insertion of interlaminar/interspinous process stabilization/distraction device, without fusion, including image guidance when performed, with open decompression, lumbar; single level

Facilitymedian $4,266 · 10th–90th $1,148–$11,2200%5%10%10th90th$4,266Professionalmedian $2,089 · 10th–90th $1,175–$5,3700%5%10%10th90th$2,089$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,148.15 / $3,715.35 / $9,772.37
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,302.69 / $25,118.86 / $30,199.52
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27,542.29 / $27,542.29 / $27,542.29
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,174.90 / $2,089.30 / $5,370.32
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,311.31 / $8,912.51 / $16,982.44