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Florida 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
$377.00 / $3,279.00 / $11,550.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.89 / $267.85 / $339.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $11,250.23 / $13,393.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.79 / $188.79 / $188.79
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,187.12 / $4,829.14 / $10,380.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.69 / $238.39 / $279.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $373.50 / $448.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,462.00 / $12,949.00 / $20,609.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.16 / $274.47 / $483.08
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.80 / $246.80 / $246.80