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Kentucky 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
$294.32 / $787.00 / $8,229.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.32 / $525.58 / $593.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,013.00 / $3,389.00 / $3,766.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.23 / $38.65 / $47.78
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$620.26 / $10,287.31 / $48,999.51
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.35 / $9,001.40 / $125,998.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$623.33 / $623.33 / $623.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,595.91 / $2,595.91 / $2,595.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $3,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$531.00 / $2,513.00 / $27,879.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.21 / $657.08 / $1,056.39