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Illinois 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
$630.96 / $3,235.94 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $97.72 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $120.23 / $218.78
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $190.55 / $346.74
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $1,513.56 / $2,511.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $851.14 / $2,630.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $120.23 / $194.98