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Indiana 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
$1,380.38 / $4,897.79 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $93.33 / $112.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $194.98 / $380.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $194.98 / $316.23
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,584.89 / $43,651.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $257.04 / $501.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $2,238.72 / $7,413.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $107.15 / $190.55