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Indiana rates for HCPCS 0222T

Placement of a posterior intrafacet implant(s), unilateral or bilateral, including imaging and placement of bone graft(s) or synthetic device(s), single level; each additional vertebral segment (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.44 / $3,500.00 / $5,634.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.53 / $272.56 / $988.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,926.00 / $2,926.00 / $5,647.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,279.84 / $2,926.00 / $3,950.10
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$364.33 / $5,464.94 / $8,688.06
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.24 / $360.24 / $514.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,282.97 / $3,862.32 / $3,862.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.00 / $2,252.00 / $4,426.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.12 / $413.81 / $713.32