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Nebraska 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
$1,506.15 / $5,463.36 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.45 / $68.22 / $68.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,619.76 / $8,706.79 / $16,841.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.29 / $110.01 / $148.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.40 / $136.72 / $319.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.22 / $116.70 / $343.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.81 / $153.04 / $210.39
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.40 / $121.45 / $169.91
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.40 / $129.13 / $319.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.00 / $1,775.00 / $4,406.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.81 / $161.47 / $204.20