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Montana 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
$391.90 / $420.02 / $420.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$609.92 / $609.92 / $609.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.44 / $548.94 / $609.92
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.93 / $231.93 / $609.92
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.44 / $609.92 / $808.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.24 / $633.35 / $698.88