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Idaho rates for HCPCS 0214T

Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with ultrasound guidance, cervical or thoracic; second level (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $5,495.41 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $102.33 / $120.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $194.98 / $331.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $77.62 / $91.20
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $102.33 / $134.90
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $100.00 / $1,230.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $77.62
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $144.54 / $186.21
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $91.20 / $117.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $1,819.70 / $9,332.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $141.25 / $194.98