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Montana 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
$1,548.82 / $2,137.96 / $4,365.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $3,388.44 / $3,388.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.03 / $3,090.30 / $3,388.44
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $3,715.35 / $3,801.89
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,715.35 / $3,715.35 / $3,801.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $2,290.87 / $3,981.07
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.03 / $3,090.30 / $3,630.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $3,715.35 / $4,466.84