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Massachusetts 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
$988.00 / $2,094.00 / $3,685.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.38 / $271.42 / $300.45
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,697.00 / $5,904.00 / $15,421.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.77 / $444.08 / $1,788.72
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.42 / $337.42 / $396.96
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.66 / $609.82 / $771.24
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,697.00 / $5,904.00 / $15,421.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.48 / $424.80 / $1,788.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,386.00 / $5,904.00 / $13,017.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.77 / $448.49 / $809.79