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Georgia 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
$2,290.87 / $4,365.16 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $173.78 / $295.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $2,290.87 / $4,073.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $131.83 / $190.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $645.65 / $660.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $436.52 / $891.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $281.84 / $812.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $2,187.76 / $3,467.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $229.09 / $389.05