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New York 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
$1,819.70 / $5,370.32 / $10,964.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $239.88 / $302.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,981.07 / $7,762.47 / $13,803.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $275.42 / $436.52
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $371.54 / $16,595.87
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $371.54 / $371.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $549.54 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,412.54 / $1,412.54
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $208.93 / $208.93
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $263.03 / $588.84
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50,118.72 / $53,703.18 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $5,888.44 / $13,489.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $363.08 / $831.76
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $263.03 / $263.03
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $263.03 / $549.54