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Alaska rates for HCPCS 0264T

Intramuscular autologous bone marrow cell therapy, with preparation of harvested cells, multiple injections, one leg, including ultrasound guidance, if performed; complete procedure excluding bone marrow harvest

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,772.37 / $12,022.64 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $158.49 / $204.17
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $204.17 / $295.12
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $190.55 / $251.19
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $660.69 / $870.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $204.17 / $295.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $389.05 / $707.95