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Oklahoma 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
$882.00 / $3,683.00 / $7,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.90 / $210.90 / $210.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,832.80 / $2,911.67 / $4,600.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,195.47 / $18,195.47 / $18,195.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.81 / $263.63 / $13,541.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.46 / $293.13 / $496.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,851.00 / $7,074.00 / $14,139.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.27 / $287.27 / $430.92