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North Carolina 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 $4,266 · 10th–90th $245–$15,1360%10%10th90th$4,266Professionalmedian $269 · 10th–90th $209–$6310%20%10th90th$269$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
$245.47 / $5,248.07 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $245.47 / $288.40
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,481.54 / $11,481.54 / $11,748.98
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $467.74 / $724.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,379.62 / $21,379.62 / $21,379.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,174.90 / $1,174.90
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218.78 / $269.15 / $426.58
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,760.83 / $14,791.08 / $23,442.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $316.23 / $524.81
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69,183.10 / $69,183.10 / $69,183.10
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,778.28 / $1,778.28 / $2,137.96