go back

Maine 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
Professional
Modifier
Low / Median / High Price
$1,148.47 / $2,212.46 / $4,404.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44,569.01 / $56,593.28 / $65,823.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,742.26 / $1,742.26 / $2,779.34
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,677.65 / $3,098.04 / $4,752.56
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.47 / $2,212.46 / $4,404.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,928.36 / $3,266.24 / $4,837.24