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Michigan 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
$248.14 / $2,056.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.38 / $248.14 / $283.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,030.48 / $12,030.48 / $12,030.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,428.96 / $12,632.00 / $15,038.10
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.14 / $2,056.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.38 / $248.14 / $248.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,635.00 / $10,192.00 / $12,767.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.94 / $336.19 / $431.44