go back

Colorado rates for HCPCS 0630T

Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral injection, with CT 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
$1,144.00 / $3,889.00 / $9,872.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.45 / $74.12 / $96.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.01 / $111.54 / $232.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.36 / $119.36 / $119.36
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.03 / $74.12 / $111.37
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.95 / $76.81 / $130.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$730.00 / $1,491.00 / $2,720.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.26 / $117.12 / $181.60