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South Carolina 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
$154.88 / $9,120.11 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $154.88 / $173.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $6,760.83 / $12,882.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $158.49 / $204.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $3,235.94 / $3,235.94
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $169.82 / $331.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,309.57 / $17,378.01 / $25,703.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $181.97 / $302.00