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Virginia 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
$630.96 / $4,897.79 / $8,912.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $467.74 / $691.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $2,570.40 / $2,951.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $602.56 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,089.30 / $2,089.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $426.58 / $524.81
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $602.56 / $831.76
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $794.33 / $10,000.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $794.33 / $10,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $1,202.26 / $2,454.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $691.83 / $1,148.15