go back

Oregon 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
$190.55 / $7,943.28 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $151.36 / $190.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $346.74 / $426.58
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $194.98 / $346.74
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $134.90 / $204.17
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $331.13 / $4,265.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $194.98 / $316.23
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $79.43 / $338.84
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,715.19 / $14,454.40 / $17,378.01
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $346.74 / $446.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $16,218.10 / $23,988.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $302.00 / $426.58