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Georgia 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
$1,202.00 / $3,460.00 / $6,915.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.80 / $247.30 / $290.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,299.30 / $6,744.30 / $13,137.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.78 / $258.89 / $414.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$283.02 / $283.02 / $16,254.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.50 / $397.50 / $1,178.68
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.62 / $350.51 / $471.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,998.00 / $9,172.00 / $18,613.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.37 / $390.57 / $676.62