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Washington, DC rates for HCPCS 0221T

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,369.52 / $4,100.00 / $7,007.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,369.52 / $1,369.52 / $1,369.52
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,615.00 / $9,276.00 / $15,324.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,298.56 / $2,993.52 / $2,993.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,648.00 / $3,378.00 / $26,408.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,395.19 / $2,259.32 / $4,222.95