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Illinois rates for HCPCS 22869

Insj Stablj Dev W/O Dcmprn Lumbar Single Level

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.00 / $1,731.00 / $5,389.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,251.68 / $9,421.36 / $21,862.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $21,165.50 / $23,628.74
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.85 / $724.45 / $2,733.02
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
$2,537.00 / $6,885.00 / $14,716.00