go back

Idaho 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
$4,466.84 / $5,495.41 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $2,290.87 / $5,128.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $8,511.38 / $23,442.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $3,019.95 / $3,162.28
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $2,290.87 / $4,168.69
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $2,344.23 / $18,197.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $77.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,791.08 / $18,620.87 / $24,547.09
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $3,235.94 / $4,168.69
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $1,949.84 / $2,290.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $11,748.98 / $29,512.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $2,818.38 / $4,466.84