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Michigan rates for HCPCS 0218T

Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with ultrasound guidance, lumbar or sacral; third and any additional level(s) (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.28 / $2,056.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.39 / $89.28 / $272.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.60 / $193.91 / $455.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.45 / $53.08 / $157.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.08 / $109.08 / $119.88
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.47 / $2,056.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.28 / $90.47 / $115.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $58.78 / $80.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $1,418.00 / $2,029.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.85 / $107.65 / $153.49