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Maine 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
$186.21 / $218.78 / $281.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $295.12 / $371.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $489.78 / $912.01
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $263.03 / $302.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $407.38 / $676.08