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Kansas 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
$1,500.00 / $3,600.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.90 / $258.95 / $351.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.00 / $624.00 / $624.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.69 / $337.69 / $337.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.66 / $317.62 / $9,507.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.95 / $341.53 / $2,043.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,269.00 / $6,407.00 / $12,989.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.95 / $327.30 / $443.22