go back

Wyoming 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
Professional
Modifier
Low / Median / High Price
$1,224.33 / $1,281.35 / $1,350.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.25 / $698.25 / $698.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,200.00 / $4,200.00 / $14,634.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,782.53 / $2,445.94 / $4,891.89