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Arizona rates for HCPCS 0489T

Autologous adipose-derived regenerative cell therapy for scleroderma in the hands; adipose tissue harvesting, isolation and preparation of harvested cells including incubation with cell dissociation enzymes, removal of non-viable cells and debris, determination of concentration and dilution of regenerative cells

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,170.00 / $2,640.00 / $5,506.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.33 / $179.95 / $260.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.60 / $1,704.86 / $2,700.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.53 / $90.04 / $104.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.94 / $251.94 / $267.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.80 / $769.02 / $4,435.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.84 / $203.04 / $454.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,519.00 / $3,269.00 / $5,261.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.02 / $197.40 / $277.88