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West 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
$300.33 / $300.33 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.90 / $300.33 / $363.22
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$836.06 / $3,948.04 / $8,119.13
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119,998.80 / $119,998.80 / $119,998.80
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.85 / $334.95 / $458.16