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Idaho 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

Facilitymedian $1,413 · 10th–90th $200–$5,4950%10%20%10th90th$1,413Professionalmedian $195 · 10th–90th $162–$2400%20%10th90th$195$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,412.54 / $4,466.84 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $194.98 / $239.88
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$251.19 / $251.19 / $389.05
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $251.19 / $275.42
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$134.90 / $186.21 / $4,466.84
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $194.98 / $4,466.84
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $77.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$251.19 / $251.19 / $380.19
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $251.19 / $354.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,715.35 / $15,488.17 / $26,302.68
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $263.03 / $323.59