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Montana rates for HCPCS 0213T

Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with ultrasound guidance, cervical or thoracic; single level

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $194.98 / $302.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $331.13 / $331.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $302.00 / $331.13
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $363.08 / $2,570.40
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $363.08 / $2,570.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $204.17 / $331.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $302.00 / $338.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $323.59 / $371.54