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Indiana 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
$112.48 / $3,500.00 / $5,634.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.06 / $112.48 / $182.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,614.00 / $9,200.00 / $18,942.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.93 / $392.87 / $529.27
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.87 / $194.99 / $4,049.73
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.99 / $179.99 / $224.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.80 / $518.59 / $518.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,403.00 / $5,242.00 / $10,843.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.66 / $196.27 / $314.08