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Alaska rates for HCPCS 0627T

Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral injection, with fluoroscopic guidance, lumbar; first level

Facilitymedian $417 · 10th–90th $234–$9,7720%5%10%10th90th$417Professionalmedian $263 · 10th–90th $234–$6760%20%10th90th$263$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,511.89 / $6,606.93 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $263.03 / $295.12
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$234.42 / $316.23 / $588.84
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $263.03 / $416.87
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$977.24 / $1,122.02 / $1,479.11
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$234.42 / $316.23 / $588.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,760.83 / $6,760.83 / $6,760.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $676.08 / $1,698.24