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Montana 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
$38.90 / $58.88 / $72.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $97.72 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $89.13 / $97.72
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $107.15 / $12,589.25
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $107.15 / $12,589.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $66.07 / $97.72
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $97.72 / $131.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $93.33 / $114.82