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North Carolina 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
$173.78 / $5,248.07 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $173.78 / $295.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $575.44 / $588.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $229.09 / $380.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $891.25 / $891.25
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $194.98 / $323.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $2,137.96 / $4,073.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $199.53 / $338.84
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,621.81 / $1,621.81