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South Dakota 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
$58.88 / $58.88 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $58.88 / $131.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $107.15 / $128.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $83.18 / $151.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $52.48 / $831.76
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $107.15 / $128.82
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $120.23 / $120.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $4,466.84 / $4,466.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $87.10 / $154.88