go back

Montana 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
$190.97 / $204.25 / $204.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$299.18 / $299.18 / $299.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.30 / $269.26 / $299.18
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.01 / $112.88 / $183.16
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.80 / $199.81 / $334.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.80 / $296.88 / $333.34