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Texas 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
$521.00 / $2,236.00 / $7,513.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.82 / $266.80 / $298.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.99 / $578.11 / $1,396.19
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$623.11 / $1,271.59 / $1,386.05
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,985.36 / $2,041.28 / $2,377.88
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$256.47 / $300.08 / $757.29
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.00 / $263.00 / $263.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$256.47 / $330.95 / $757.29
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.00 / $263.00 / $263.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.00 / $950.00 / $2,376.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.28 / $312.77 / $484.69
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.75 / $183.75 / $248.06