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Georgia 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
$1,202.00 / $3,460.00 / $6,915.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.81 / $87.54 / $143.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.52 / $80.98 / $151.68
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.37 / $192.96 / $262.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.83 / $104.83 / $2,500.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.22 / $436.55 / $450.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.84 / $139.79 / $406.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.00 / $1,550.00 / $2,665.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.88 / $122.75 / $226.80