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Maine 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
Professional
Modifier
Low / Median / High Price
$266.07 / $266.07 / $278.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.80 / $193.84 / $247.52
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.05 / $400.61 / $614.55
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.07 / $266.07 / $278.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.05 / $385.24 / $552.88