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New York 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
$1,508.00 / $4,072.00 / $9,661.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.93 / $302.20 / $336.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,691.00 / $3,333.00 / $4,636.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.93 / $127.82 / $243.35
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,511.50 / $5,511.50 / $16,534.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$314.10 / $314.10 / $3,479.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.38 / $1,309.64 / $1,309.64
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.18 / $346.13 / $556.88
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$314.10 / $555.00 / $3,479.91
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.38 / $1,309.64 / $1,309.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,079.00 / $2,826.00 / $4,851.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.49 / $364.72 / $860.72
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.01 / $265.45 / $265.45
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.45 / $265.45 / $556.88