go back

Nebraska 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
$1,506.15 / $5,463.36 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.66 / $253.24 / $253.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,619.76 / $8,706.79 / $16,841.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.86 / $908.77 / $3,624.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,930.11 / $16,930.11 / $16,930.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.69 / $506.04 / $1,072.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.24 / $443.17 / $16,016.97
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.83 / $522.34 / $700.83
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$337.69 / $1,072.23 / $21,444.81
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.69 / $430.01 / $1,072.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,777.00 / $8,220.00 / $9,696.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.83 / $539.35 / $680.26