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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,170.00 / $2,640.00 / $5,506.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.31 / $283.14 / $431.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.29 / $147.01 / $241.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.00 / $64.00 / $80.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$264.45 / $518.34 / $1,919.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.80 / $317.57 / $636.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$704.00 / $1,535.00 / $2,175.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.80 / $300.20 / $522.83