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Connecticut 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
$3,235.94 / $4,677.35 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $251.19 / $323.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $17,378.01 / $31,622.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $251.19 / $549.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $851.14 / $32,359.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,244.36 / $10,964.78 / $18,620.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $398.11 / $741.31