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South Dakota 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
$87.10 / $2,290.87 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $87.10 / $95.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $109.65 / $134.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $151.36 / $338.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $141.25 / $676.08
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $162.18 / $199.53
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $181.97 / $181.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $141.25 / $234.42