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Oklahoma 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
$758.58 / $2,454.71 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $72.44 / $85.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $123.03 / $1,548.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $87.10 / $158.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $630.96 / $1,659.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $83.18 / $117.49