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Maryland 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
Professional
Modifier
Low / Median / High Price
$61.66 / $91.20 / $173.78
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $57.54 / $70.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $331.13 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $114.82 / $138.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $109.65 / $165.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $40.74 / $128.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $95.50 / $165.96