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Nebraska 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
$2,187.76 / $6,025.60 / $12,589.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $251.19 / $275.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,412.54 / $2,754.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $239.88 / $512.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $501.19 / $630.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $501.19 / $4,365.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $501.19 / $741.31
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $501.19 / $630.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $602.56 / $602.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $1,096.48 / $4,466.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $501.19 / $707.95