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Maryland 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
Professional
Modifier
Low / Median / High Price
$463.10 / $605.95 / $605.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$576.67 / $667.74 / $1,214.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$413.00 / $413.00 / $413.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.06 / $616.45 / $1,194.46