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Massachusetts 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
$988.00 / $2,094.00 / $3,685.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$605.54 / $687.86 / $765.32
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.00 / $2,747.78 / $5,876.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$647.29 / $963.26 / $3,937.28
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$742.68 / $742.68 / $873.74
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.98 / $1,274.01 / $1,659.05
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.00 / $2,747.78 / $5,876.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$671.01 / $963.26 / $3,937.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.00 / $3,325.00 / $4,662.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$646.48 / $921.55 / $2,201.57