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Michigan 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
$95.50 / $4,897.79 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $95.50 / $112.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $141.25 / $141.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $141.25 / $141.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $117.49 / $128.82
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $288.40 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $102.33 / $138.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $1,202.26 / $2,041.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $112.20 / $154.88