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Wisconsin 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
Facility
Modifier
Low / Median / High Price
$120.23 / $120.23 / $17,782.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $194.98 / $251.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $3,090.30 / $5,754.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $275.42 / $741.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $645.65 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $331.13 / $380.19
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $199.53 / $426.58
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $407.38 / $407.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $426.58 / $4,168.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $354.81 / $1,548.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $58.88 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $501.19 / $691.83
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,819.70 / $2,691.53
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $933.25 / $1,479.11
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $660.69 / $660.69
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,318.26 / $1,412.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $2,818.38 / $4,677.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $316.23 / $891.25