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Tennessee 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
$575.00 / $2,303.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.43 / $238.42 / $320.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,003.00 / $7,266.00 / $13,623.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.14 / $331.19 / $538.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,407.84 / $64,018.40 / $64,018.40
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,901.35 / $2,043.68 / $2,163.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,964.00 / $8,273.00 / $12,407.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.91 / $327.41 / $567.09