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Connecticut rates for HCPCS 0263T

Intramuscular autologous bone marrow cell therapy, with preparation of harvested cells, multiple injections, one leg, including ultrasound guidance, if performed; complete procedure including unilateral or bilateral bone marrow harvest

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $4,897.79 / $10,471.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $57.54 / $72.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,317.64 / $15,135.61 / $16,595.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $79.43 / $120.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $630.96 / $630.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $10,471.29 / $16,218.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $72.44 / $154.88