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Virginia 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
$98.40 / $4,032.00 / $8,920.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.87 / $98.40 / $200.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.80 / $38.11 / $79.54
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.35 / $57.35 / $910.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.83 / $104.83 / $640.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.55 / $436.55 / $436.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.79 / $112.37 / $129.93
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.29 / $107.74 / $167.28
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.00 / $155.00 / $216.84
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.10 / $117.04 / $982.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.80 / $118.39 / $982.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.00 / $1,045.00 / $2,364.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.45 / $107.60 / $160.72