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Tennessee 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
$155.24 / $3,940.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.67 / $155.24 / $163.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,625.00 / $5,138.00 / $8,746.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.58 / $188.45 / $313.39
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.03 / $14,266.70 / $14,266.70
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,166.48 / $1,199.44 / $1,397.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,799.00 / $5,728.00 / $10,111.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.33 / $218.52 / $343.96