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Alabama 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
$1,096.48 / $1,445.44 / $2,398.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $151.36 / $190.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,754.40 / $6,760.83 / $9,332.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $4,168.69 / $6,309.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $162.18 / $245.47