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Louisiana 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
$501.19 / $1,288.25 / $3,890.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $269.15 / $302.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $812.83 / $1,513.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $537.03 / $1,230.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $346.74 / $575.44