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Oregon 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
$302.00 / $6,606.93 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $263.03 / $331.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $588.84 / $724.44
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $346.74 / $6,606.93
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $263.03 / $4,677.35
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $537.03 / $562.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $331.13 / $512.86
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $79.43 / $575.44
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,288.25 / $1,621.81
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $562.34 / $758.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $2,187.76 / $6,165.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $537.03 / $758.58