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Hawaii rates for HCPCS 0202T

Posterior vertebral joint(s) arthroplasty (eg, facet joint[s] replacement), including facetectomy, laminectomy, foraminotomy, and vertebral column fixation, injection of bone cement, when performed, including fluoroscopy, single level, lumbar spine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,747.00 / $6,966.00 / $8,499.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,404.71 / $4,404.71 / $4,404.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,178.42 / $1,178.42 / $1,663.64
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,320.94 / $2,531.94 / $2,953.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $3,028.00 / $3,028.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,178.42 / $3,395.47 / $3,925.46