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Utah 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
$81.28 / $3,388.44 / $6,025.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $95.50 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $117.49 / $128.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $44.67 / $123.03
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $120.23 / $147.91
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $104.71 / $141.25
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $131.83 / $151.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $4,466.84 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $102.33 / $162.18