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Pennsylvania 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
$831.76 / $2,691.53 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $89.13 / $173.78
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $91.20 / $147.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $154.88 / $154.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $120.23 / $436.52
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $70.79 / $162.18
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $147.91 / $295.12
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $2,344.23 / $8,317.64
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $87.10 / $660.69
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $60.26 / $91.20
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $69.18 / $97.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $676.08 / $4,265.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $104.71 / $158.49