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North Dakota 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
$174.51 / $174.51 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.74 / $241.12 / $252.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.51 / $305.68 / $419.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.83 / $467.01 / $670.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.99 / $403.49 / $559.58