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Kentucky 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
$69.18 / $1,778.28 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $87.10 / $173.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $177.83 / $218.78
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $1,584.89 / $41,686.94
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $1,513.56 / $2,691.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $154.88 / $154.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $436.52 / $436.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $1,995.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $602.56 / $3,162.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $114.82 / $173.78