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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
$1,508.00 / $4,043.00 / $9,661.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.69 / $191.78 / $317.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $3,373.00 / $4,707.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.32 / $173.65 / $399.75
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.68 / $240.68 / $4,050.00
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.68 / $240.68 / $240.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.02 / $213.02 / $213.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.99 / $888.71 / $888.71
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.32 / $323.77 / $495.20
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.85 / $241.47 / $424.77
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.93 / $176.93 / $176.93
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.38 / $242.61 / $390.14
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.02 / $555.00 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.99 / $888.71 / $888.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.00 / $3,496.00 / $6,201.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.44 / $234.96 / $492.99
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.40 / $214.79 / $214.79
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.93 / $254.54 / $467.50