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Illinois 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
$741.31 / $2,344.23 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $89.13 / $173.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $109.65 / $199.53
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $134.90 / $204.17
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $117.49 / $128.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $134.90 / $147.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $851.14 / $2,630.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $109.65 / $177.83