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Montana 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
$63.10 / $89.13 / $102.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $147.91 / $147.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $131.83 / $147.91
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $158.49 / $165.96
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $158.49 / $165.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $91.20 / $147.91
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $131.83 / $154.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $144.54 / $169.82