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Minnesota 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
$158.49 / $158.49 / $158.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $151.36 / $173.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $13,182.57 / $33,113.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $275.42 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $776.25 / $776.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $3,981.07 / $11,748.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $309.03 / $851.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $8,709.64 / $11,748.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $263.03 / $562.34