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Tennessee 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
$575.00 / $2,303.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.43 / $249.18 / $261.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,370.00 / $1,676.00 / $2,453.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.25 / $343.64 / $584.23
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$623.11 / $1,386.05 / $1,386.05
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,985.36 / $2,041.28 / $2,377.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.00 / $808.00 / $2,577.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.82 / $378.54 / $628.49