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Oregon 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
$288.40 / $6,606.93 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $245.47 / $323.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $851.14 / $851.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $549.54 / $645.65
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $288.40 / $660.69
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $257.04 / $23,442.29
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $8,511.38 / $17,378.01
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $288.40 / $478.63
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $79.43 / $512.86
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,673.69 / $44,668.36 / $56,234.13
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $524.81 / $707.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $20,892.96 / $56,234.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $512.86 / $707.95