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Massachusetts 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
$988.00 / $2,094.00 / $3,685.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.98 / $215.81 / $240.09
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$822.00 / $2,446.00 / $5,876.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.08 / $302.22 / $1,199.92
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.32 / $226.32 / $266.26
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.08 / $388.71 / $506.18
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$822.00 / $2,446.00 / $5,876.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.50 / $302.22 / $1,199.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.00 / $3,325.00 / $4,662.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.08 / $274.63 / $506.18