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Kentucky 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
$139.65 / $787.00 / $8,229.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.65 / $246.31 / $269.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,013.00 / $3,389.00 / $3,766.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.15 / $147.24 / $166.67
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.49 / $5,186.70 / $47,249.53
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.95 / $5,339.25 / $8,008.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$314.10 / $314.10 / $314.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,309.64 / $1,309.64 / $1,309.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $597.00 / $3,176.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.60 / $377.00 / $555.30