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Arizona rates for HCPCS 0217T

Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with ultrasound guidance, lumbar or sacral; second level (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $3,090.30 / $6,309.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $89.13 / $199.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $426.58 / $630.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $102.33 / $204.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $162.18 / $162.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $144.54 / $1,905.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $104.71 / $676.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,230.27 / $2,187.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $93.33 / $165.96