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Oklahoma 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 $2,512 · 10th–90th $501–$9,3330%10%10th90th$2,512Professionalmedian $245 · 10th–90th $178–$3310%10%20%10th90th$245$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
$758.58 / $2,454.71 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $239.88 / $288.40
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,054.61 / $19,054.61 / $19,054.61
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$186.21 / $1,445.44 / $14,125.38
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $288.40 / $524.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,949.84 / $7,244.36 / $15,848.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $275.42 / $371.54