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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
$88.94 / $88.94 / $2,290.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.67 / $88.94 / $88.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.00 / $109.08 / $135.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.52 / $150.31 / $337.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.80 / $164.08 / $681.68
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.09 / $162.79 / $217.20
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.79 / $182.62 / $217.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.80 / $148.79 / $231.45