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Missouri 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
$1,778.28 / $4,897.79 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $58.88 / $131.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $89.13 / $144.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $38.90 / $38.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $1,862.09 / $12,589.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $74.13 / $831.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $3,467.37 / $6,918.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $63.10 / $125.89