go back

Arkansas rates for HCPCS 0629T

Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral injection, with CT guidance, lumbar; first level

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.16 / $1,181.00 / $3,109.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.16 / $235.09 / $320.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,104.00 / $4,334.00 / $8,676.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.91 / $332.18 / $518.24