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Hawaii 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
$988.00 / $2,747.00 / $2,898.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.00 / $90.00 / $90.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.59 / $90.59 / $127.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.34 / $109.40 / $129.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.00 / $1,078.00 / $1,078.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.59 / $122.55 / $153.93