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Maryland 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
Professional
Modifier
Low / Median / High Price
$75.15 / $101.05 / $108.06
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.50 / $68.50 / $87.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.00 / $330.00 / $641.21
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.23 / $142.62 / $201.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.00 / $36.00 / $41.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.88 / $104.01 / $182.36