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Missouri 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
$1,778.28 / $4,897.79 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $245.47 / $302.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $213.80 / $331.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $316.23 / $316.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $602.56 / $630.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $407.38 / $7,943.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $416.87 / $2,041.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $3,467.37 / $6,918.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $354.81 / $549.54