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Illinois 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
$741.31 / $2,344.23 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $257.04 / $331.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $645.65 / $776.25
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $199.53 / $346.74
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $758.58 / $2,187.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $380.19 / $602.56