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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
$4,277.00 / $5,549.00 / $11,100.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.56 / $149.68 / $149.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.11 / $336.48 / $370.02
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $150.00 / $150.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.11 / $4,681.18 / $12,505.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.96 / $336.48 / $1,199.44
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$264.58 / $370.02 / $4,681.18
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.11 / $280.43 / $370.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,221.00 / $8,523.00 / $11,869.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.42 / $304.04 / $456.88