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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
$49.31 / $88.33 / $200.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.11 / $111.26 / $111.26
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.42 / $133.54 / $204.86
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.31 / $88.33 / $248.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $126.77 / $190.96