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Georgia 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
$4,365.16 / $5,888.44 / $9,549.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $154.88 / $177.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $4,365.16 / $10,000.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $223.87 / $257.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $3,162.28 / $3,162.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $208.93 / $295.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $6,918.31 / $12,022.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $213.80 / $371.54