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Minnesota 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
$161.82 / $161.82 / $2,168.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.06 / $161.82 / $166.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$605.67 / $918.94 / $1,611.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.94 / $267.11 / $267.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.66 / $281.14 / $3,500.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.91 / $346.04 / $764.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,751.00 / $3,500.00 / $8,152.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.38 / $334.90 / $703.01