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Arizona 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
$1,170.00 / $2,640.00 / $5,506.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.50 / $190.97 / $292.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$402.71 / $1,516.10 / $2,479.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.26 / $171.63 / $280.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.61 / $317.61 / $330.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.29 / $248.90 / $1,873.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.38 / $187.97 / $531.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,086.00 / $1,958.00 / $3,268.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.94 / $176.79 / $354.30