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Rhode Island 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
$1,518.41 / $1,543.03 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.06 / $202.50 / $215.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.68 / $197.27 / $197.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,649.00 / $3,539.00 / $6,383.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.02 / $226.11 / $341.36