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Ohio 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
$158.26 / $9,496.00 / $11,627.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.26 / $158.26 / $161.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,084.00 / $4,426.00 / $19,117.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.06 / $528.08 / $939.20
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.09 / $2,547.91 / $13,683.86
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.39 / $2,645.91 / $4,669.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $60.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,206.00 / $6,578.00 / $10,075.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.33 / $201.75 / $327.89