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New Hampshire 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
$100.00 / $100.00 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.37 / $200.55 / $248.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.26 / $111.26 / $111.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.83 / $104.83 / $104.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.55 / $436.55 / $436.55
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.68 / $162.91 / $320.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,448.00 / $7,448.00 / $7,448.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.48 / $144.50 / $239.41
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,750.00 / $3,500.00