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Massachusetts 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
$100.00 / $2,238.72 / $3,801.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $173.78 / $295.12
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $2,511.89 / $7,079.46
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $257.04 / $1,348.96
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $331.13 / $8,511.38
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $263.03 / $371.54
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $2,511.89 / $7,079.46
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $346.74 / $512.86
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $2,511.89 / $7,079.46
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $257.04 / $1,348.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $2,454.71 / $6,165.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $257.04 / $562.34