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Rhode Island 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
$1,518.41 / $1,543.03 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.77 / $103.18 / $140.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $144.77 / $164.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$437.00 / $1,401.00 / $4,915.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.16 / $127.44 / $199.51