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North Dakota 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
$186.78 / $186.78 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.97 / $192.80 / $266.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.78 / $376.03 / $515.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.45 / $575.90 / $689.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.14 / $514.21 / $682.60