go back

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
$1,949.84 / $5,623.41 / $10,471.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $151.36 / $204.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $302.00 / $302.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $2,187.76 / $8,709.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $190.55 / $1,202.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $3,715.35 / $8,912.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $181.97 / $263.03