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Missouri 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
$1,110.00 / $3,232.00 / $8,485.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.41 / $244.32 / $316.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,971.00 / $9,204.00 / $15,746.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.19 / $191.57 / $276.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.69 / $337.69 / $566.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.44 / $342.05 / $7,900.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.43 / $409.26 / $1,840.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,209.00 / $4,963.00 / $12,989.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.01 / $393.74 / $586.21