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Arkansas 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
$575.44 / $1,071.52 / $2,454.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $263.03 / $426.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $416.87 / $575.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $363.08 / $1,023.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $295.12 / $501.19