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Oklahoma 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
$758.58 / $2,454.71 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $165.96 / $204.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $776.25 / $776.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $323.59 / $323.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $354.81 / $2,398.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $194.98 / $416.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $1,318.26 / $2,630.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $186.21 / $251.19