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Pennsylvania 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
$641.00 / $2,371.00 / $7,629.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.05 / $253.24 / $300.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$314.45 / $314.45 / $314.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,188.03 / $1,188.03 / $1,188.03
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.68 / $369.68 / $369.68
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$641.00 / $2,326.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.05 / $271.47 / $1,544.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$314.45 / $314.45 / $314.45
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,188.03 / $1,188.03 / $1,188.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,468.00 / $4,563.00 / $9,631.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.67 / $341.47 / $521.78