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Nebraska 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
$2,166.29 / $5,463.36 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.88 / $152.88 / $240.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,090.65 / $1,434.51 / $2,774.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.59 / $253.06 / $355.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.94 / $306.24 / $380.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.88 / $267.54 / $7,856.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.42 / $382.29 / $508.67
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.94 / $277.06 / $320.82
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.94 / $289.27 / $320.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,054.00 / $4,317.00 / $13,909.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.42 / $364.62 / $431.75