go back

Hawaii rates for HCPCS 0214T

Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with ultrasound guidance, cervical or thoracic; second level (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,747.00 / $2,747.00 / $2,747.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.59 / $81.59 / $81.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.76 / $99.76 / $140.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.84 / $120.47 / $142.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.00 / $1,078.00 / $1,078.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.76 / $131.59 / $169.82