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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
$1,412.54 / $4,466.84 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $263.03 / $389.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,135.61 / $27,542.29 / $41,686.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $436.52 / $10,715.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,489.63 / $13,489.63 / $13,489.63
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $288.40 / $645.65
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $295.12 / $20,417.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $77.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,988.33 / $31,622.78 / $45,708.82
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $416.87 / $478.63
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $20,892.96 / $33,113.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $11,748.98 / $29,512.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $380.19 / $524.81