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Minnesota 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
$241.19 / $241.19 / $2,168.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.51 / $241.19 / $289.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,006.75 / $30,354.63 / $53,224.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,574.00 / $11,031.29 / $11,611.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$283.02 / $283.02 / $283.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.69 / $472.50 / $1,178.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.19 / $419.08 / $12,002.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.55 / $500.38 / $1,053.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,457.00 / $9,370.00 / $12,774.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.88 / $453.38 / $995.87