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Maine 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
$52.48 / $97.72 / $112.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $120.23 / $147.91
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $158.49 / $295.12
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $97.72 / $112.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $131.83 / $234.42