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New Mexico 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
$1,000.00 / $7,762.47 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $158.49 / $190.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $85.11 / $2,137.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $257.04 / $363.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $11,220.18 / $19,054.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $234.42 / $346.74