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Colorado 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
$1,144.00 / $3,889.00 / $9,872.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.05 / $246.97 / $320.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,990.00 / $19,587.00 / $44,198.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.20 / $349.82 / $535.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,922.71 / $16,922.71 / $50,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.50 / $397.50 / $397.50
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.76 / $246.97 / $371.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.49 / $247.14 / $430.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,146.00 / $13,967.00 / $20,534.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.83 / $393.12 / $683.32