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Maine 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
Professional
Modifier
Low / Median / High Price
$93.33 / $173.78 / $204.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $190.55 / $234.42
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $269.15 / $512.86
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $173.78 / $223.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $234.42 / $398.11