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Montana rates for HCPCS 0219T

Placement of a posterior intrafacet implant(s), unilateral or bilateral, including imaging and placement of bone graft(s) or synthetic device(s), single level; cervical

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,096.48 / $1,380.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $1,778.28 / $1,778.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $1,584.89 / $1,778.28
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $1,905.46 / $1,995.26
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $1,905.46 / $1,995.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,202.26 / $1,778.28
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $1,584.89 / $1,778.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $1,819.70 / $2,089.30