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New York 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
$1,584.89 / $3,981.07 / $9,332.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $186.21 / $239.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $5,888.44 / $12,302.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $416.87 / $758.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $281.84 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $794.33 / $794.33
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $194.98 / $354.81
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50,118.72 / $53,703.18 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $4,168.69 / $9,332.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $213.80 / $426.58
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $162.18 / $186.21
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $186.21 / $354.81