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North Dakota 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
$130.25 / $130.25 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.25 / $161.82 / $163.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.25 / $169.33 / $390.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.55 / $335.86 / $455.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.55 / $262.11 / $417.65