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Idaho 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
$1,412.54 / $4,466.84 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $93.33 / $245.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $190.55 / $331.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $72.44 / $85.11
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $93.33 / $309.03
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $93.33 / $1,348.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $77.62
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $128.82 / $169.82
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $85.11 / $104.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $1,819.70 / $9,332.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $125.89 / $177.83