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Missouri 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
$2,035.00 / $5,440.00 / $13,151.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,378.61 / $2,099.66 / $2,720.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,155.41 / $36,218.54 / $72,305.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$885.37 / $1,041.61 / $1,737.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,865.74 / $4,865.74 / $5,072.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,378.61 / $2,720.98 / $6,144.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,461.99 / $2,696.87 / $15,811.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,209.00 / $4,432.00 / $12,989.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,459.93 / $2,621.21 / $4,192.03