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Minnesota 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
$87.10 / $87.10 / $2,238.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $87.10 / $173.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $181.97 / $281.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $60.26 / $60.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $354.81 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $117.49 / $138.04
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $346.74 / $676.08
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $107.15 / $141.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $173.78 / $1,737.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $165.96 / $512.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $1,862.09 / $3,467.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $144.54 / $288.40