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California 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
$1,208.95 / $5,390.00 / $17,013.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.80 / $251.12 / $320.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,222.00 / $7,534.00 / $16,460.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.76 / $342.62 / $565.32
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.90 / $100.00 / $2,605.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,145.00 / $23,202.84 / $41,557.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.49 / $196.41 / $229.06
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,565.18 / $16,565.18 / $17,393.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.93 / $638.07 / $801.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,394.88 / $67,014.55 / $67,014.55
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,788.72 / $1,840.00 / $2,142.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $85.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$282.33 / $315.29 / $415.18
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.63 / $229.06 / $1,134.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,212.00 / $13,555.00 / $29,312.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.68 / $289.91 / $621.15