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Michigan rates for HCPCS 0216T

Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with ultrasound guidance, lumbar or sacral; single level

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.62 / $2,056.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.19 / $174.62 / $317.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$592.72 / $800.36 / $1,879.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.40 / $665.94 / $1,373.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.99 / $213.99 / $235.18
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.67 / $2,056.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.62 / $177.67 / $232.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $139.37 / $154.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.00 / $3,005.00 / $4,504.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.83 / $207.71 / $300.24