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Montana 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
$98.32 / $100.41 / $100.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.07 / $144.07 / $144.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.46 / $129.66 / $144.07
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.14 / $58.14 / $144.07
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.46 / $144.07 / $202.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.10 / $146.15 / $167.04