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Kentucky 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
$52.48 / $2,818.38 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $91.20 / $112.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $177.83 / $218.78
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $1,778.28 / $45,708.82
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $1,737.80 / $3,019.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $177.83 / $177.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $501.19 / $501.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $1,995.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $602.56 / $3,162.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $128.82 / $194.98