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Oklahoma 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
$882.00 / $3,683.00 / $7,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.63 / $210.90 / $271.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,047.05 / $19,047.05 / $19,047.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.81 / $263.63 / $13,541.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.46 / $293.13 / $496.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,851.00 / $7,074.00 / $14,139.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.27 / $287.27 / $399.72