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Illinois 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
$741.31 / $2,344.23 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $177.83 / $316.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $1,288.25 / $1,548.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $933.25 / $933.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $213.80 / $389.05
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $263.03 / $398.11
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $229.09 / $251.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $263.03 / $288.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $1,445.44 / $3,715.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $213.80 / $354.81