go back

West Virginia 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
$90.82 / $90.82 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.01 / $99.71 / $116.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.17 / $1,417.49 / $2,915.33
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119,998.80 / $119,998.80 / $119,998.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.58 / $102.58 / $102.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.20 / $427.20 / $427.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$460.00 / $460.00 / $460.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.66 / $116.04 / $158.02