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Missouri 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
$1,000.00 / $2,754.23 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $89.13 / $199.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $79.43 / $112.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $91.20 / $91.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $114.82 / $208.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $123.03 / $912.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $131.83 / $676.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $707.95 / $1,778.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $114.82 / $190.55