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Illinois rates for HCPCS 22869

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $2,041.74 / $7,762.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $16,595.87 / $22,387.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,379.62 / $21,379.62 / $21,379.62
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $776.25 / $2,951.21
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
$2,570.40 / $7,943.28 / $16,982.44