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Maine 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
Professional
Modifier
Low / Median / High Price
$239.88 / $380.19 / $977.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $446.68 / $776.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $446.68 / $831.76
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $416.87 / $977.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $398.11 / $676.08