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Florida 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)

Facilitymedian $3,236 · 10th–90th $661–$8,9130%5%10%10th90th$3,236Professionalmedian $74 · 10th–90th $50–$950%20%10th90th$74$20.0$100.0$500.0$2.0K$10.0K

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
$660.69 / $3,311.31 / $9,332.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $74.13 / $87.10
AvMed
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $67.61 / $87.10
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$125.89 / $125.89 / $125.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $354.81 / $354.81
Florida Blue
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,168.69 / $4,466.84 / $4,786.30
Florida Blue
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $79.43 / $87.10
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $154.88 / $446.68
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $1,548.82 / $3,890.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $83.18 / $147.91
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $245.47 / $245.47