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Washington 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
$1,737.80 / $6,456.54 / $20,892.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $263.03 / $302.00
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $1,202.26 / $1,737.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $891.25 / $891.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $50.12 / $64.57
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $537.03 / $562.34
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $354.81 / $380.19
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $602.56 / $812.83
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $1,122.02 / $2,137.96
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $537.03 / $724.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $1,659.59 / $3,548.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $446.68 / $758.58
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $181.97 / $181.97