go back

Washington 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 $7,943 · 10th–90th $490–$44,6680%5%10th90th$7,943Professionalmedian $288 · 10th–90th $234–$6610%20%10th90th$288$100.0$500.0$2.0K$10.0K$50.0K

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,290.87 / $6,606.93 / $20,892.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $263.03 / $389.05
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,183.83 / $35,481.34 / $70,794.58
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $501.19 / $724.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $870.96 / $32,359.37
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,589.25 / $44,668.36 / $61,659.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $812.83 / $812.83
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $50.12 / $60.26
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $489.78 / $15,488.17
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $380.19 / $4,365.16
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $575.44 / $831.76
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,915.35 / $36,307.81 / $70,794.58
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $489.78 / $724.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,677.35 / $38,018.94 / $72,443.60
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $389.05 / $707.95
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $245.47 / $245.47