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Montana rates for HCPCS 0218T

Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with ultrasound guidance, lumbar or sacral; 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
$64.57 / $95.50 / $407.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $151.36 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $138.04 / $151.36
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $165.96 / $169.82
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $165.96 / $169.82
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $95.50 / $154.88
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $138.04 / $158.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $147.91 / $173.78