go back

Idaho rates for HCPCS 0629T

Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral injection, with CT guidance, lumbar; first level

Facilitymedian $5,495 · 10th–90th $257–$33,8840%10%10th90th$5,495Professionalmedian $257 · 10th–90th $229–$3980%20%40%10th90th$257$50.0$200.0$1.0K$5.0K$20.0K

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
$1,412.54 / $4,466.84 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $251.19 / $288.40
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,135.61 / $27,542.29 / $41,686.94
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $380.19 / $7,762.47
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,125.38 / $14,125.38 / $14,125.38
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$234.42 / $281.84 / $645.65
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $288.40 / $18,620.87
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $77.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23,988.33 / $31,622.78 / $45,708.82
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $380.19 / $478.63
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $20,892.96 / $33,113.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570.40 / $11,748.98 / $29,512.09
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $380.19 / $524.81