go back

South Dakota 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
$432.05 / $432.05 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.21 / $432.05 / $432.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.00 / $252.00 / $315.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$583.66 / $714.08 / $903.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.79 / $1,100.06 / $3,294.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.69 / $663.65 / $865.63
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$603.49 / $663.65 / $1,483.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.00 / $1,100.06 / $1,544.31