go back

Arizona 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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,170.00 / $2,640.00 / $5,506.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.76 / $255.13 / $391.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.29 / $147.94 / $241.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.00 / $64.00 / $80.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.91 / $430.62 / $9,437.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.36 / $302.39 / $772.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,255.00 / $7,205.00 / $11,396.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.36 / $272.16 / $537.49