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Wisconsin 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
$57.54 / $57.54 / $17,782.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $93.33 / $112.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,584.89 / $6,165.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $134.90 / $331.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $323.59 / $512.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $165.96 / $190.55
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $97.72 / $218.78
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $204.17 / $204.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $213.80 / $1,778.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $173.78 / $758.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $54.95 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $245.47 / $346.74
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $263.03 / $616.60
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $467.74 / $741.31
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $331.13 / $331.13
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $660.69 / $707.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,584.89 / $1,949.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $154.88 / $436.52