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Arkansas 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
$359.53 / $1,181.00 / $3,109.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.53 / $359.53 / $679.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $1,056.00 / $2,558.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$521.09 / $651.91 / $956.86