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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
$1,047.13 / $5,495.41 / $10,964.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $151.36 / $173.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $2,511.89 / $2,951.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $776.25 / $776.25
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $2,041.74 / $2,238.72
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $123.03 / $162.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $39.81 / $50.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $10,232.93 / $15,848.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $186.21 / $323.59
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $245.47 / $245.47