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Missouri 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
$1,000.00 / $2,754.23 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $263.03 / $426.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $218.78 / $338.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $275.42 / $275.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $467.74 / $1,288.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $371.54 / $2,041.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $691.83 / $1,479.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $346.74 / $549.54