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Idaho 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
$1,412.54 / $4,466.84 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $275.42 / $426.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $794.33 / $1,258.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $436.52 / $645.65
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $316.23 / $5,495.41
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $275.42 / $426.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $77.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $891.25 / $1,318.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $416.87 / $436.52
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $954.99 / $1,047.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $8,317.64 / $9,332.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $389.05 / $588.84