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New York 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
$1,584.89 / $3,981.07 / $9,332.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $181.97 / $371.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $3,630.78 / $5,011.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $173.78 / $398.11
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $239.88 / $4,073.80
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $239.88 / $239.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $316.23 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $891.25 / $891.25
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $331.13 / $758.58
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $275.42 / $426.58
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $177.83 / $177.83
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $245.47 / $436.52
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50,118.72 / $53,703.18 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $3,311.31 / $6,165.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $223.87 / $512.86
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $151.36 / $213.80
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $239.88 / $457.09