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Texas 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
$977.24 / $3,715.35 / $12,882.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $61.66 / $72.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $6,165.95 / $12,302.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $3,630.78 / $3,630.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $107.15 / $107.15
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,125.38 / $14,125.38 / $14,125.38
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $724.44 / $851.14
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $181.97 / $5,248.07
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $61.66 / $371.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $66.07 / $165.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $38.90 / $107.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $6,606.93 / $13,803.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $44.67 / $91.20
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $93.33 / $93.33