go back

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
$2,166.29 / $5,463.36 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.19 / $238.19 / $238.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,090.65 / $1,478.11 / $2,774.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.41 / $245.99 / $520.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.45 / $559.79 / $628.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.19 / $416.83 / $1,775.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.19 / $562.15 / $2,041.28
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$352.45 / $448.79 / $628.10
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.45 / $448.79 / $628.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.00 / $1,775.00 / $4,406.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.19 / $590.10 / $709.02