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Missouri 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
$1,110.00 / $4,470.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.23 / $159.32 / $206.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.98 / $250.57 / $432.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.61 / $253.16 / $8,004.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.47 / $228.92 / $1,199.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,858.00 / $4,000.00 / $10,781.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.19 / $210.05 / $337.68