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Indiana 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
$1,380.38 / $4,897.79 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,995.26 / $4,365.16
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $14,454.40 / $25,118.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,445.44 / $2,344.23
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $32,359.37 / $48,977.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $1,905.46 / $10,232.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $11,481.54 / $17,378.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $2,089.30 / $3,890.45