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Nebraska 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
$7,244.36 / $8,511.38 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $58.88 / $131.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,244.36 / $9,549.93 / $18,620.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $141.25 / $208.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $128.82 / $288.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $5,888.44 / $14,125.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $95.50 / $154.88
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $112.20 / $141.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $288.40 / $288.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $6,606.93 / $8,912.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $95.50 / $144.54