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Alaska rates for HCPCS 0481T

Injection(s), autologous white blood cell concentrate (autologous protein solution), any site, including image guidance, harvesting and preparation, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $6,606.93 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $281.84 / $331.13
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $331.13 / $478.63
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $302.00 / $426.58
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,122.02 / $1,548.82
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $331.13 / $478.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $707.95 / $1,659.59