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Georgia 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
$1,202.00 / $3,460.00 / $6,915.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.42 / $250.67 / $294.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,299.30 / $6,744.30 / $13,137.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.78 / $258.89 / $483.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$314.45 / $314.45 / $15,528.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.67 / $441.67 / $1,188.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.75 / $353.28 / $475.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,998.00 / $9,172.00 / $18,613.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.91 / $389.66 / $653.85