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Nebraska 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
$2,187.76 / $6,025.60 / $12,589.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $169.82 / $186.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $1,949.84 / $3,801.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $186.21 / $354.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $724.44 / $724.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $323.59 / $416.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $288.40 / $2,691.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $346.74 / $524.81
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $346.74 / $426.58
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $724.44 / $724.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $407.38 / $416.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $1,548.82 / $6,309.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $338.84 / $489.78