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Ohio 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
$1,048.00 / $3,053.00 / $11,581.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.05 / $244.90 / $320.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,097.00 / $8,010.00 / $36,529.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.12 / $205.30 / $381.85
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.64 / $3,487.92 / $8,028.45
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.97 / $4,094.51 / $7,225.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$314.45 / $314.45 / $314.45
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.67 / $441.67 / $1,188.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $60.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,070.00 / $8,440.00 / $13,382.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.27 / $336.19 / $499.65