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South Carolina 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
$57.54 / $9,120.11 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $58.88 / $67.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $6,760.83 / $12,882.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $354.81 / $446.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $3,235.94 / $4,073.80
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $70.79 / $138.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,309.57 / $17,378.01 / $25,703.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $58.88 / $575.44