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Nebraska 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
$2,187.76 / $6,025.60 / $12,589.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $346.74 / $380.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $8,709.64 / $16,982.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $602.56 / $812.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $436.52 / $831.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $575.44 / $5,011.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $707.95 / $1,071.52
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $501.19 / $870.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $831.76 / $870.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $1,548.82 / $4,570.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $707.95 / $954.99