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Ohio 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
$1,048.00 / $2,989.00 / $11,581.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.66 / $242.65 / $300.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,097.00 / $8,010.00 / $36,529.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.12 / $205.30 / $381.85
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.42 / $3,455.95 / $7,954.88
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.47 / $4,056.99 / $7,159.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$283.02 / $283.02 / $283.02
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.50 / $397.50 / $1,178.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $60.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,070.00 / $8,440.00 / $13,382.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.97 / $352.30 / $545.67