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Utah 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
$537.03 / $3,162.28 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $186.21 / $537.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $213.80 / $234.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $44.67 / $181.97
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $1,584.89 / $3,630.78
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $251.19 / $457.09
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $186.21 / $213.80
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $234.42 / $275.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $2,818.38 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $186.21 / $288.40