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Texas 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
$870.96 / $3,630.78 / $12,022.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $457.09 / $645.65
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $79.43 / $79.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $316.23 / $2,089.30
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $2,818.38 / $2,818.38
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.03 / $3,630.78 / $3,630.78
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $1,412.54 / $6,918.31
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $457.09 / $660.69
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $549.54 / $933.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $354.81 / $2,089.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $1,047.13 / $2,691.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $616.60 / $954.99
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $616.60 / $616.60