go back

Idaho 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
$4,365.16 / $4,466.84 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,318.26 / $1,445.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $6,760.83 / $18,620.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,630.27 / $3,090.30 / $3,311.31
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $1,348.96 / $2,041.74
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,348.96 / $8,128.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $77.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,022.64 / $16,218.10 / $22,908.68
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $1,949.84 / $2,398.83
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $11,748.98 / $18,620.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $9,332.54 / $18,197.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,862.09 / $2,630.27