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Colorado 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
$2,506.00 / $3,189.00 / $10,651.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.00 / $161.05 / $189.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,946.00 / $9,472.00 / $17,487.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.37 / $243.24 / $318.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.22 / $259.22 / $259.22
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.05 / $161.05 / $270.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,251.00 / $11,924.00 / $19,737.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.61 / $236.51 / $389.94