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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
$338.84 / $380.19 / $1,000.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $616.60 / $616.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $549.54 / $616.60
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $660.69 / $676.08
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $660.69 / $676.08
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $478.63 / $616.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $549.54 / $616.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $630.96 / $724.44