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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
$1,778.28 / $4,897.79 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $151.36 / $204.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $251.19 / $407.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $158.49 / $158.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $1,862.09 / $12,589.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $213.80 / $1,202.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $3,467.37 / $6,918.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $194.98 / $323.59