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New Hampshire 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
$100.00 / $100.00 / $21,126.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,648.22 / $1,965.53 / $4,404.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,669.00 / $36,315.22 / $63,311.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,742.26 / $1,742.26 / $1,862.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,432.65 / $2,432.65 / $2,432.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,127.93 / $10,127.93 / $10,127.93
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,405.46 / $3,779.72 / $7,424.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,399.00 / $12,399.00 / $12,399.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,638.44 / $3,336.23 / $6,782.67
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,750.00 / $3,500.00