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Kansas 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
$1,500.00 / $3,600.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.35 / $69.73 / $94.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.40 / $101.40 / $101.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.45 / $85.15 / $1,087.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.86 / $102.55 / $552.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.00 / $550.00 / $1,769.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.86 / $99.28 / $132.52