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Tennessee 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
$575.00 / $2,303.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.89 / $238.42 / $320.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,734.00 / $7,133.00 / $13,498.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.14 / $333.19 / $541.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,394.88 / $67,014.55 / $67,014.55
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,788.72 / $1,840.00 / $2,142.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,964.00 / $8,273.00 / $12,407.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.91 / $326.87 / $556.17