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South 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
$263.03 / $263.03 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $257.04 / $302.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $501.19 / $562.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $371.54 / $524.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $501.19 / $2,041.74
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $501.19 / $602.56
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $562.34 / $562.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $4,466.84 / $4,466.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $446.68 / $954.99