go back

Nebraska 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
$7,244.36 / $8,511.38 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $251.19 / $269.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,244.36 / $9,549.93 / $18,620.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $331.13 / $467.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $3,548.13 / $3,548.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $501.19 / $630.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $457.09 / $8,709.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $562.34 / $1,000.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $512.86 / $645.65
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $3,548.13 / $3,548.13
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $478.63 / $630.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $6,606.93 / $8,912.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $537.03 / $794.33