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Massachusetts 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
$83.18 / $3,388.44 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $151.36 / $177.83
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $6,165.95 / $14,125.38
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $251.19 / $1,174.90
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $218.78 / $257.04
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $6,165.95 / $13,182.57
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $316.23 / $501.19
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $6,165.95 / $14,125.38
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $245.47 / $1,174.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $6,165.95 / $13,182.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $257.04 / $537.03