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Oregon 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
$102.33 / $6,606.93 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $93.33 / $173.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $549.54 / $549.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $199.53 / $239.88
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $102.33 / $234.42
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $144.54 / $199.53
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $52.48 / $83.18
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $102.33 / $177.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $117.49 / $186.21
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $181.97 / $257.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $4,073.80 / $6,165.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $169.82 / $245.47