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Minnesota 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
$268.06 / $268.06 / $2,168.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.51 / $264.92 / $289.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,006.75 / $30,354.63 / $53,224.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,980.17 / $12,651.50 / $13,317.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$314.45 / $314.45 / $314.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.69 / $525.00 / $1,188.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$268.06 / $429.81 / $12,002.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.55 / $510.94 / $1,053.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,457.00 / $9,370.00 / $12,774.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.55 / $511.90 / $1,022.70