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Pennsylvania 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
$1,047.13 / $4,786.30 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $457.09 / $645.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $660.69 / $660.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $281.84 / $2,089.30
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $398.11 / $977.24
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $812.83 / $1,949.84
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $3,801.89 / $8,317.64
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $446.68 / $1,096.48
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $602.56 / $912.01
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $602.56 / $912.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $676.08 / $4,265.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $660.69 / $1,096.48