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North Carolina 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
$248.73 / $1,615.00 / $7,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.27 / $248.73 / $286.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.48 / $497.86 / $730.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,277.82 / $20,277.82 / $20,277.82
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.44 / $248.14 / $310.91
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.44 / $241.44 / $320.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.60 / $338.60 / $338.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,015.00 / $15,545.00 / $22,780.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.23 / $391.77 / $664.47
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,394.88 / $58,492.62 / $67,014.55
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,788.72 / $2,142.90 / $2,142.90