go back

Indiana 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
$831.76 / $4,897.79 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $169.82 / $316.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $4,466.84 / $8,709.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $194.98 / $316.23
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $2,884.03 / $43,651.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $645.65 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $257.04 / $891.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $2,818.38 / $4,265.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $186.21 / $331.13