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Maine 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 / $199.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $112.20 / $134.90
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $138.04 / $263.03
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $91.20 / $158.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $117.49 / $204.17