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Idaho 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
$4,466.84 / $5,495.41 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $251.19 / $302.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $5,128.61 / $12,022.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $363.08 / $371.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $3,019.95 / $3,019.95
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $275.42 / $416.87
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $269.15 / $4,168.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $77.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,762.47 / $10,471.29 / $14,454.40
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $416.87 / $512.86
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $8,912.51 / $12,022.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $10,232.93 / $27,542.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $426.58 / $630.96