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New York 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
$1,584.89 / $3,981.07 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $269.15 / $338.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $11,220.18 / $19,054.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $234.42 / $380.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $426.58 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $1,174.90 / $1,174.90
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $407.38 / $407.38
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $234.42 / $234.42
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $354.81 / $616.60
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50,118.72 / $53,703.18 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $6,456.54 / $18,620.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $363.08 / $851.14
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $263.03 / $263.03
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $263.03 / $588.84