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Washington, DC 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
$288.40 / $3,162.28 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $275.42 / $302.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $316.23 / $630.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $549.54 / $2,511.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $346.74 / $741.31