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New Hampshire 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
$100.00 / $100.00 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.01 / $988.59 / $1,000.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.56 / $446.56 / $768.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$434.29 / $434.29 / $434.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,808.56 / $1,808.56 / $1,808.56
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.55 / $674.95 / $1,325.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,448.00 / $7,448.00 / $7,448.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.32 / $429.24 / $605.00