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Washington 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
$64.57 / $10,232.93 / $28,183.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $57.54 / $72.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,025.60 / $6,025.60 / $6,025.60
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $6,165.95 / $19,054.61
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.38 / $4,265.80 / $6,309.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $50.12 / $75.86
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $125.89 / $4,265.80
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $85.11 / $85.11
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $144.54 / $389.05
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,511.38 / $13,182.57 / $25,118.86
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $112.20 / $158.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $16,218.10 / $26,302.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $81.28 / $177.83
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $93.33 / $93.33