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Arizona rates for HCPCS 0481T

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

Facilitymedian $2,188 · 10th–90th $240–$5,6230%10%10th90th$2,188Professionalmedian $269 · 10th–90th $214–$3630%20%40%10th90th$269$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,445.44 / $3,090.30 / $6,309.57
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $263.03 / $331.13
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $158.49 / $302.00
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $72.44 / $309.03
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$275.42 / $707.95 / $2,041.74
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $323.59 / $630.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$380.19 / $933.25 / $2,137.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $302.00 / $549.54