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Washington, DC 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
$1,017.00 / $2,080.00 / $4,100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.23 / $82.23 / $82.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.66 / $170.38 / $170.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.00 / $442.00 / $5,940.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.69 / $99.64 / $212.73