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Montana 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
Professional
Modifier
Low / Median / High Price
$70.79 / $93.33 / $112.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $165.96 / $165.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $147.91 / $165.96
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $177.83 / $186.21
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $177.83 / $186.21
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $102.33 / $165.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $147.91 / $169.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $158.49 / $186.21