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New Jersey 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
$90.21 / $4,667.00 / $10,202.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.88 / $76.83 / $96.21
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.90 / $110.90 / $110.90
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.76 / $93.06 / $193.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,529.00 / $3,352.00 / $10,536.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.76 / $103.63 / $255.40