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South Dakota 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
$93.33 / $93.33 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $93.33 / $104.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $117.49 / $144.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $162.18 / $204.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $154.88 / $758.58
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $177.83 / $218.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $199.53 / $199.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $154.88 / $257.04