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Oregon 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
$2,747.00 / $6,629.40 / $8,728.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.27 / $215.81 / $216.99
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.29 / $330.47 / $399.84
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.44 / $216.99 / $466.53
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,910.16 / $17,150.38 / $18,772.80
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.22 / $307.76 / $340.36
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.50 / $216.99 / $310.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.49 / $267.11 / $348.49
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.09 / $556.32 / $702.90
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.54 / $361.95 / $540.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,364.00 / $7,664.00 / $36,803.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.44 / $366.61 / $539.40