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Nebraska 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
$7,079.46 / $7,943.28 / $15,135.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,202.26 / $1,230.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $8,709.64 / $16,982.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $2,570.40 / $3,630.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,079.46 / $7,079.46 / $7,079.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $870.96 / $2,691.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $2,041.74 / $10,471.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $2,951.21 / $4,466.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $1,698.24 / $3,019.95
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,079.46 / $7,079.46 / $7,079.46
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $2,691.53 / $3,019.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $6,918.31 / $9,549.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $2,691.53 / $3,890.45