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Florida 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
$602.00 / $6,024.00 / $11,624.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.00 / $152.04 / $161.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $2,507.15 / $2,984.71
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,921.98 / $2,050.11 / $2,216.67
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.85 / $121.98 / $206.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $40.00 / $50.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,320.00 / $10,309.00 / $15,888.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.48 / $180.38 / $331.81
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.97 / $247.97 / $247.97