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Pennsylvania 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
$1,148.15 / $6,165.95 / $9,549.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,258.93 / $1,412.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $1,949.84 / $1,949.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $776.25 / $5,888.44
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $478.63 / $2,089.30
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $2,137.96 / $5,495.41
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $5,248.07 / $9,549.93
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,230.27 / $1,445.44
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $7.94
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $1,659.59 / $1,862.09
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $1,698.24 / $1,862.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $3,981.07 / $22,387.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,905.46 / $3,162.28