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Nebraska 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
$7,244.36 / $8,511.38 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $158.49 / $173.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,244.36 / $9,549.93 / $18,620.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $398.11 / $575.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $338.84 / $371.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $5,888.44 / $14,125.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $295.12 / $457.09
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $295.12 / $371.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $354.81 / $354.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $6,606.93 / $8,912.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $295.12 / $389.05