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Maine 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
Professional
Modifier
Low / Median / High Price
$12.88 / $57.54 / $131.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $93.33 / $102.33
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $58.88 / $95.50
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $57.54 / $72.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $52.48 / $114.82