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South Dakota 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
$94.86 / $94.86 / $94.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.27 / $94.86 / $98.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.76 / $177.67 / $203.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.69 / $162.66 / $202.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.56 / $182.34 / $771.44
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.33 / $182.11 / $242.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.11 / $203.54 / $242.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.56 / $165.35 / $257.20