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South Carolina 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 / $9,120.11 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $257.04 / $302.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $6,760.83 / $12,882.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $13.49 / $26.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $549.54 / $891.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,412.54 / $1,412.54
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $288.40 / $457.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $17,378.01 / $25,703.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $245.47 / $512.86