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South Carolina 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
$3,801.89 / $5,888.44 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $269.15 / $323.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $1,148.15 / $1,778.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $891.25 / $18,620.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,174.90
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $295.12 / $457.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $20,417.38 / $25,703.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $275.42 / $467.74