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Ohio 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
$2,691.53 / $9,549.93 / $11,748.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $57.54 / $208.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $4,365.16 / $16,982.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $537.03 / $891.25
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $660.69 / $45,708.82
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $724.44 / $1,288.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,379.62 / $21,379.62 / $21,379.62
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,379.62 / $21,379.62 / $21,379.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $50.12 / $60.26
SummaCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $5,370.32 / $5,370.32
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $75.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $6,606.93 / $10,471.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $57.54 / $112.20