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Michigan 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
$4,897.79 / $4,897.79 / $5,754.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $2,137.96 / $4,365.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,748.98 / $11,748.98 / $11,748.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,220.18 / $11,748.98 / $12,302.69
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $5,754.40 / $6,918.31
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $2,137.96 / $2,951.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $10,232.93 / $25,703.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $2,344.23 / $3,162.28