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Delaware 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
$3,140.00 / $3,140.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.46 / $219.46 / $269.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.69 / $374.23 / $636.13