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Massachusetts rates for HCPCS 0630T

Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral injection, with CT guidance, lumbar; each additional level (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,238.72 / $3,801.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $75.86 / $87.10
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $1,862.09 / $3,467.37
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $125.89 / $537.03
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $102.33 / $120.23
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $2,041.74 / $3,467.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $138.04 / $204.17
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $1,862.09 / $3,467.37
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $125.89 / $537.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $1,862.09 / $2,818.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $125.89 / $229.09