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Missouri 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
$1,000.00 / $2,754.23 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $165.96 / $257.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $181.97 / $257.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $891.25 / $9,772.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $239.88 / $1,230.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $2,818.38 / $10,471.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $218.78 / $371.54