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Nebraska 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
$1,506.15 / $5,463.36 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.05 / $227.85 / $227.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,619.76 / $8,706.79 / $16,841.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.05 / $366.63 / $495.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,722.47 / $17,722.47 / $17,722.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.69 / $455.67 / $1,064.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$227.85 / $398.74 / $16,016.97
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.83 / $509.80 / $700.83
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$337.69 / $1,064.22 / $21,266.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.69 / $430.01 / $1,064.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,777.00 / $8,220.00 / $9,696.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.83 / $522.34 / $680.26