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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
$2,041.74 / $2,041.74 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $173.78 / $295.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $524.81 / $1,258.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $1,174.90 / $1,258.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $213.80 / $234.42
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $2,041.74 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $186.21 / $275.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $1,778.28 / $4,073.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $204.17 / $275.42