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Maryland 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
Professional
Modifier
Low / Median / High Price
$172.54 / $184.50 / $184.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.72 / $203.46 / $369.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$413.00 / $413.00 / $413.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.27 / $202.78 / $374.66