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Minnesota 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
$169.82 / $169.82 / $2,238.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $169.82 / $295.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $2,089.30 / $4,073.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $120.23 / $120.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $707.95 / $1,659.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $234.42 / $269.15
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $676.08 / $1,318.26
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $213.80 / $281.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $338.84 / $2,951.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $338.84 / $1,047.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $2,238.72 / $5,495.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $288.40 / $575.44