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Minnesota 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
$2,089.30 / $2,089.30 / $8,128.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $2,089.30 / $4,365.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $676.08 / $1,698.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,918.31 / $7,244.36 / $7,244.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $3,630.78 / $3,630.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,073.80 / $5,128.61 / $10,232.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $3,467.37 / $12,022.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $4,466.84 / $10,471.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $6,309.57 / $13,182.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $3,715.35 / $7,244.36