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North Dakota 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
$120.82 / $120.82 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.33 / $169.67 / $202.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.88 / $213.99 / $269.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.82 / $169.74 / $328.97
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.31 / $292.35 / $489.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.97 / $292.35 / $413.53