go back

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
$1,445.44 / $3,090.30 / $6,309.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $181.97 / $316.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $1,230.27 / $1,819.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $208.93 / $436.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $323.59 / $323.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $295.12 / $2,691.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $204.17 / $1,380.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $1,513.56 / $3,235.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $186.21 / $331.13