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Louisiana 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
$66.07 / $2,691.53 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $57.54 / $74.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $7,762.47 / $12,022.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $5,128.61 / $11,220.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $53.70 / $120.23