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Missouri 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
$1,778.28 / $4,897.79 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $95.50 / $120.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $85.11 / $125.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $102.33 / $102.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $218.78 / $239.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $131.83 / $912.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $147.91 / $776.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $707.95 / $1,778.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $128.82 / $208.93