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New York 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
$1,508.00 / $4,043.00 / $9,661.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.05 / $254.58 / $321.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,977.00 / $9,808.00 / $16,411.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.50 / $230.39 / $392.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$283.02 / $283.02 / $283.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.47 / $1,178.68 / $1,178.68
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.68 / $369.68 / $369.68
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.53 / $232.53 / $232.53
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.53 / $348.84 / $527.53
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$283.02 / $555.00 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.47 / $1,178.68 / $1,178.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,341.00 / $6,700.00 / $16,782.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.66 / $361.91 / $800.39
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.53 / $239.24 / $239.24
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.24 / $239.24 / $527.53