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South Dakota 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
$169.82 / $2,290.87 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $177.83 / $190.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $213.80 / $263.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $302.00 / $537.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $281.84 / $1,380.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $323.59 / $389.05
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $363.08 / $363.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $1,659.59 / $1,659.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $275.42 / $457.09