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Hawaii rates for HCPCS 0215T

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,747.00 / $2,747.00 / $2,747.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.50 / $98.50 / $98.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.90 / $100.90 / $142.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.28 / $121.85 / $143.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.00 / $1,078.00 / $1,078.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.62 / $131.35 / $171.68