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Minnesota 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
$1,202.26 / $1,202.26 / $7,079.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,230.27 / $1,412.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $13,803.84 / $32,359.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $208.93 / $208.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $2,290.87 / $5,495.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $776.25 / $891.25
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $2,238.72 / $4,365.16
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $691.83 / $977.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,348.96 / $9,332.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,584.89 / $5,128.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $5,495.41 / $10,715.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,513.56 / $3,548.13