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Missouri 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
$2,511.89 / $4,677.35 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,258.93 / $1,584.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,698.24 / $2,630.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,023.29 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $741.31 / $3,019.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,778.28 / $7,079.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $2,398.83 / $9,772.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $3,019.95 / $5,888.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $2,089.30 / $3,388.44