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New York 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
$1,584.89 / $3,981.07 / $9,332.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $89.13 / $218.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $3,630.78 / $5,011.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $87.10 / $165.96
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $120.23 / $4,073.80
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $120.23 / $120.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $154.88 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $436.52 / $436.52
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $169.82 / $389.05
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $141.25 / $218.78
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $91.20 / $91.20
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $125.89 / $223.87
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50,118.72 / $53,703.18 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $2,754.23 / $4,897.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $114.82 / $257.04
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $91.20 / $91.20
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $91.20 / $199.53