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Arizona 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
$1,445.44 / $3,090.30 / $6,309.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $575.44 / $758.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $141.25 / $208.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $128.82 / $208.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $1,778.28 / $4,466.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $660.69 / $4,073.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $2,290.87 / $5,495.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $630.96 / $851.14