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Virginia 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
$194.98 / $3,235.94 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $181.97 / $316.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $2,570.40 / $2,951.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $223.87 / $398.11
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $141.25 / $2,511.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $645.65 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $891.25 / $891.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $218.78 / $269.15
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $204.17 / $331.13
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $239.88 / $3,311.31
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $239.88 / $3,311.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $2,089.30 / $3,981.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $204.17 / $331.13