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Iowa 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
$147.91 / $5,370.32 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $151.36 / $165.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $275.42 / $389.05
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $151.36 / $151.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $7,413.10 / $13,182.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $281.84 / $1,023.29
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $275.42 / $371.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $389.05 / $389.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,309.57 / $9,549.93 / $13,182.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $257.04 / $457.09