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Kentucky 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
$190.55 / $2,818.38 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $213.80 / $275.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,244.36 / $8,912.51 / $8,912.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $295.12 / $426.58
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $5,495.41 / $45,708.82
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $5,248.07 / $9,332.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $549.54 / $549.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,412.54 / $1,412.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $1,995.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $4,677.35 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $398.11 / $630.96