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Missouri 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
$1,000.00 / $2,818.38 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $74.13 / $95.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,585.78 / $10,471.29 / $16,218.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $109.65 / $257.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $74.13 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $102.33 / $169.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $109.65 / $1,258.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $117.49 / $549.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $707.95 / $4,897.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $102.33 / $158.49