go back

Michigan 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
$2,041.74 / $2,041.74 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $165.96 / $213.80
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $2,041.74 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $199.53 / $263.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $3,890.45 / $6,025.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $213.80 / $288.40