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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
$128.82 / $162.18 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $162.18 / $213.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $169.82 / $389.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $338.84 / $1,230.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $2,041.74 / $2,041.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $234.42 / $389.05