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New Jersey 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
$1,715.00 / $5,192.00 / $10,692.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.82 / $283.14 / $334.64
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$782.90 / $782.90 / $1,103.02
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.42 / $285.38 / $485.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,529.00 / $3,352.00 / $10,536.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.99 / $313.83 / $915.93