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Idaho rates for HCPCS 0566T

Autologous cellular implant derived from adipose tissue for the treatment of osteoarthritis of the knees; injection of cellular implant into knee joint including ultrasound guidance, unilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,407.00 / $4,500.00 / $7,045.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.30 / $90.97 / $98.32
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.30 / $91.48 / $117.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $55.00 / $3,900.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.82 / $139.28 / $506.67
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.87 / $136.32 / $146.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $1,800.00 / $9,193.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.18 / $138.32 / $182.69