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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
$163.15 / $5,063.00 / $7,631.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.05 / $160.94 / $163.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,491.93 / $4,469.68 / $9,523.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.60 / $247.97 / $366.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,177.28 / $3,177.28 / $3,177.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.82 / $210.98 / $297.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,738.00 / $7,794.00 / $14,048.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.99 / $221.64 / $368.96