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Montana 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
Professional
Modifier
Low / Median / High Price
$70.79 / $97.72 / $114.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $165.96 / $165.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $151.36 / $165.96
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $181.97 / $186.21
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $181.97 / $186.21
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $104.71 / $165.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $151.36 / $173.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $162.18 / $186.21