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Rhode Island 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
$3,706.14 / $3,706.14 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.27 / $112.37 / $310.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.39 / $228.72 / $371.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.14 / $105.39 / $105.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.00 / $1,401.00 / $4,915.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.26 / $137.51 / $214.92