go back

New Mexico 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
$1,000.00 / $7,838.38 / $8,644.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,222.73 / $1,264.47 / $1,925.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$740.15 / $740.15 / $886.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $85.00 / $2,526.55
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$662.94 / $1,318.17 / $1,925.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$790.00 / $9,127.00 / $13,891.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,542.83 / $1,956.77 / $2,972.78