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North Dakota 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
$62.55 / $62.55 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.77 / $85.61 / $89.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.25 / $114.38 / $143.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.55 / $110.79 / $175.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.67 / $163.93 / $231.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,978.00 / $1,978.00 / $1,978.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.64 / $166.72 / $207.22