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Pennsylvania 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
$831.76 / $2,691.53 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $371.54 / $1,000.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $602.56 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $389.05 / $1,819.70
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $234.42 / $549.54
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $524.81 / $1,348.96
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $2,344.23 / $8,317.64
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $363.08 / $1,000.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $12.88 / $12.88
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $416.87 / $457.09
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $436.52 / $691.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $676.08 / $4,265.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $501.19 / $776.25