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Arkansas 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
$88.06 / $1,821.00 / $9,477.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.06 / $88.06 / $161.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,565.00 / $2,920.00 / $6,992.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.66 / $208.00 / $305.86