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Hawaii rates for HCPCS 0220T

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,528.00 / $2,747.00 / $6,084.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,395.28 / $1,395.28 / $1,395.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $3,028.00 / $3,028.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,622.94 / $2,192.19 / $2,367.50