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Nationwide rates for HCPCS 0628T

Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral injection, with fluoroscopic guidance, lumbar; each additional level (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $3,388.44 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $74.13 / $89.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $8,511.38 / $15,848.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $204.17 / $389.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $125.89 / $125.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $354.81 / $354.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $1,202.26 / $3,715.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $97.72 / $173.78