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Maryland 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
Professional
Modifier
Low / Median / High Price
$173.78 / $204.17 / $302.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $758.58 / $758.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $645.65 / $2,398.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $380.19 / $549.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $851.14 / $2,884.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $338.84 / $575.44