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Rhode Island 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
$1,518.41 / $1,543.03 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.90 / $289.18 / $321.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,713.00 / $7,457.00 / $12,945.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.78 / $379.98 / $595.24