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Maine 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
Professional
Modifier
Low / Median / High Price
$48.44 / $91.09 / $103.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.85 / $58.90 / $64.79
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.94 / $130.66 / $200.46
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.44 / $91.09 / $103.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.44 / $125.99 / $201.35