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New Mexico 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 / $2,145.78 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.99 / $265.18 / $266.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $85.00 / $1,500.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$334.64 / $334.64 / $334.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$775.00 / $1,327.00 / $1,327.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.30 / $434.50 / $624.10