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Arizona 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
$1,170.00 / $2,640.00 / $5,506.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.76 / $252.75 / $388.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.29 / $147.94 / $241.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.00 / $64.00 / $80.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.12 / $427.26 / $9,437.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.36 / $302.39 / $772.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,255.00 / $7,205.00 / $11,396.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.31 / $272.83 / $529.21