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Minnesota 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
$252.12 / $252.12 / $2,168.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.14 / $252.12 / $258.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$605.67 / $918.94 / $1,611.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.53 / $549.54 / $2,383.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.23 / $701.12 / $1,570.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$563.00 / $1,749.00 / $2,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.44 / $667.05 / $1,202.75