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Kansas 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
$1,949.84 / $5,623.41 / $10,471.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $57.54 / $208.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $107.15 / $107.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $2,187.76 / $8,709.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $58.88 / $831.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $3,715.35 / $8,912.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $57.54 / $100.00