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Ohio 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
$1,048.00 / $3,053.00 / $11,581.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.95 / $182.63 / $317.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$814.00 / $1,981.00 / $3,943.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.88 / $183.00 / $278.43
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.28 / $2,665.95 / $11,374.89
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.95 / $3,059.18 / $5,398.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.02 / $213.02 / $213.02
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.18 / $299.18 / $888.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $60.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.00 / $1,940.00 / $4,067.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.74 / $225.56 / $361.98