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Michigan rates for HCPCS 0565T

Autologous cellular implant derived from adipose tissue for the treatment of osteoarthritis of the knees; tissue harvesting and cellular implant creation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $4,073.80 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $446.68 / $645.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $53.70 / $53.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $53.70 / $56.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $257.04 / $281.84
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $4,073.80 / $5,754.40
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $537.03 / $691.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $1,202.26 / $2,041.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $707.95 / $912.01