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Alaska rates for HCPCS 0490T

Autologous adipose-derived regenerative cell therapy for scleroderma in the hands; multiple injections in one or both hands

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,473.04 / $6,782.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$697.53 / $697.53 / $697.53
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$697.53 / $976.54 / $997.47
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,340.33 / $2,247.75 / $2,698.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$697.53 / $976.54 / $997.47
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,439.20 / $2,338.69 / $4,281.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.24 / $1,625.18 / $2,451.75