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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
$2,331.83 / $2,498.76 / $2,498.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,416.65 / $3,416.65 / $3,416.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,904.15 / $3,074.99 / $3,416.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,378.61 / $1,672.62 / $3,416.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,904.15 / $3,416.65 / $4,806.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,018.42 / $3,703.85 / $4,288.67