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North Carolina 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
$167.16 / $1,615.00 / $7,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.84 / $167.16 / $199.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.43 / $161.10 / $484.02
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.94 / $161.94 / $206.02
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.94 / $161.94 / $161.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,172.00 / $4,086.00 / $7,778.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.78 / $192.90 / $401.28
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.63 / $423.14 / $838.04
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,199.92 / $1,199.92 / $1,436.78