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Indiana 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
$831.76 / $4,897.79 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $87.10 / $173.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $194.98 / $380.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $194.98 / $316.23
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $1,412.54 / $43,651.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $257.04 / $436.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $2,238.72 / $7,413.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $95.50 / $169.82