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Colorado rates for HCPCS 0627T

Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral injection, with fluoroscopic guidance, lumbar; first level

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,144.00 / $3,889.00 / $9,872.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.66 / $248.91 / $320.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,990.00 / $19,587.00 / $44,198.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.99 / $458.41 / $706.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,166.11 / $16,166.11 / $50,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.67 / $441.67 / $441.67
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.76 / $248.91 / $373.37
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.49 / $247.14 / $430.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,146.00 / $13,967.00 / $20,534.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.48 / $393.12 / $604.79