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Alaska rates for HCPCS 0216T

Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with ultrasound guidance, lumbar or sacral; single level

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $6,606.93 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $181.97 / $204.17
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $223.87 / $309.03
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $204.17 / $537.03
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $776.25 / $1,023.29
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $234.42 / $346.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $416.87 / $1,047.13