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Georgia 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
$1,202.00 / $3,460.00 / $6,915.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$462.08 / $588.12 / $608.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.35 / $2,490.09 / $4,221.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.85 / $616.11 / $1,142.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.34 / $593.78 / $831.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,036.00 / $3,629.00 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.11 / $851.71 / $1,456.13