go back

Louisiana 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
$338.00 / $1,300.00 / $3,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.91 / $266.23 / $292.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,735.29 / $20,809.48 / $29,914.81
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,981.99 / $11,981.99 / $11,981.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $400.00 / $400.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $6,034.00 / $13,506.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.33 / $313.77 / $545.41