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Idaho 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
$1,412.54 / $4,466.84 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $186.21 / $537.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $933.25 / $2,884.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $138.04 / $162.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $575.44 / $575.44
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $186.21 / $660.69
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $204.17 / $1,230.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $77.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $2,041.74 / $2,951.21
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $275.42 / $338.84
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $162.18 / $1,737.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $2,630.27 / $4,466.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $251.19 / $363.08