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Idaho 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
$1,407.00 / $4,500.00 / $7,045.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.46 / $249.35 / $308.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,549.73 / $13,549.73 / $13,587.82
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.46 / $255.71 / $339.10
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17,392.41 / $17,392.41 / $18,969.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $55.00 / $3,900.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,890.63 / $34,178.19 / $43,515.35
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.64 / $379.59 / $440.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,600.00 / $11,800.00 / $29,092.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.70 / $393.12 / $529.21