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South Carolina 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
$3,801.89 / $5,888.44 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $87.10 / $144.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $602.56 / $1,071.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $89.13 / $109.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $154.88 / $891.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $436.52 / $436.52
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $104.71 / $186.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $1,202.26 / $3,548.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $93.33 / $162.18