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Kansas 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
$3,131.00 / $7,655.00 / $13,151.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.26 / $159.32 / $159.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.41 / $312.70 / $8,280.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.35 / $216.45 / $1,199.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,967.00 / $4,960.00 / $11,732.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.94 / $201.75 / $320.82