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West Virginia 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
$168.37 / $168.37 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.97 / $168.37 / $184.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$592.30 / $2,622.20 / $5,182.68
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119,998.80 / $119,998.80 / $119,998.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.19 / $190.19 / $190.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$792.02 / $792.02 / $792.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.27 / $215.17 / $330.48