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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
$1,139.00 / $3,158.00 / $8,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.63 / $255.31 / $330.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.95 / $210.19 / $357.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.63 / $382.97 / $1,264.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.11 / $395.00 / $2,041.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.00 / $760.00 / $1,300.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.30 / $361.52 / $580.46