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Kansas 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
$1,500.00 / $3,600.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.64 / $255.31 / $255.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.00 / $267.52 / $1,437.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.11 / $369.55 / $2,041.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.00 / $550.00 / $1,769.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.11 / $332.06 / $554.60