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South 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
$161.82 / $161.82 / $2,290.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.61 / $161.82 / $161.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.94 / $251.94 / $251.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.01 / $260.27 / $434.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.02 / $381.38 / $1,236.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.65 / $272.25 / $380.57
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.94 / $277.06 / $320.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.69 / $341.35 / $401.58