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Virginia 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
$286.64 / $4,032.00 / $8,920.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.12 / $286.64 / $363.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,900.00 / $13,875.00 / $15,752.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $98.61 / $256.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$314.45 / $314.45 / $640.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,188.03 / $1,188.03 / $1,188.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.26 / $306.20 / $354.10
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.58 / $320.33 / $581.15
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.00 / $496.32 / $650.33
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.60 / $355.72 / $7,902.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.60 / $355.72 / $7,902.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,408.00 / $13,296.00 / $26,537.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.65 / $331.46 / $515.36