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Virginia 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
$107.15 / $4,365.16 / $14,791.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $97.72 / $112.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $47.86 / $83.18
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $89.13 / $954.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $645.65 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $501.19 / $501.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $123.03 / $151.36
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $109.65 / $173.78
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $134.90 / $1,659.59
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $134.90 / $1,659.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $1,202.26 / $2,454.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $114.82 / $181.97