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Oklahoma 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 / $2,630.27 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $158.49 / $204.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $3,981.07 / $10,232.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $177.83 / $1,202.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $5,754.40 / $10,471.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $165.96 / $245.47