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Arizona rates for HCPCS 0265T

Intramuscular autologous bone marrow cell therapy, with preparation of harvested cells, multiple injections, one leg, including ultrasound guidance, if performed; unilateral or bilateral bone marrow harvest only for intramuscular autologous bone marrow cell therapy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $3,890.45 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $218.78 / $302.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $1,348.96 / $1,995.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $100.00 / $186.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $501.19 / $501.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $501.19 / $7,943.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $389.05 / $2,041.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,981.07 / $5,888.44 / $8,709.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $338.84 / $549.54