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New Mexico 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
$1,000.00 / $7,762.47 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $61.66 / $208.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $85.11 / $2,137.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $81.28 / $141.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $11,220.18 / $19,054.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $44.67 / $114.82