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Nebraska 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
$2,187.76 / $6,025.60 / $12,589.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $87.10 / $91.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $1,949.84 / $3,801.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $104.71 / $177.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $162.18 / $208.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $147.91 / $1,230.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $177.83 / $263.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $169.82 / $208.93
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $199.53 / $208.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $1,548.82 / $4,570.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $169.82 / $245.47