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Missouri 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
$1,000.00 / $2,754.23 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $173.78 / $316.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $147.91 / $208.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $186.21 / $186.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $223.87 / $426.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $245.47 / $2,238.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $263.03 / $1,380.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,047.13 / $2,344.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $223.87 / $380.19