go back

South Dakota 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
$346.74 / $2,290.87 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $363.08 / $977.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $346.74 / $436.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $630.96 / $1,659.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $549.54 / $2,818.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $489.78 / $489.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $562.34 / $1,047.13