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Minnesota 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
$263.03 / $263.03 / $263.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $239.88 / $302.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $13,182.57 / $33,113.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,981.07 / $4,168.69 / $4,168.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $549.54 / $549.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $602.56 / $1,412.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $512.86 / $11,220.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $562.34 / $1,479.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $5,754.40 / $11,748.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $478.63 / $870.96