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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
$575.44 / $1,071.52 / $2,454.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $549.54 / $851.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $1,071.52 / $2,570.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $660.69 / $933.25