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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
$4,473.04 / $6,782.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.19 / $222.73 / $222.73
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.19 / $222.73 / $311.82
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.00 / $769.50 / $1,017.45
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.11 / $222.73 / $311.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.47 / $756.00 / $1,037.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$414.82 / $625.79 / $943.72