go back

Michigan 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
$61.66 / $4,897.79 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $57.54 / $67.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $6,606.93 / $6,606.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,309.57 / $6,606.93 / $6,606.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $97.72 / $112.20
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $173.78 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $64.57 / $120.23
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $97.72 / $97.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $7,244.36 / $11,481.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $36.31 / $87.10