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New Mexico 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
$245.70 / $2,145.78 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.12 / $254.09 / $388.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $85.00 / $387.45
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.04 / $237.84 / $388.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,035.00 / $15,131.00 / $21,396.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.95 / $393.12 / $544.32