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Michigan 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
$2,041.74 / $2,041.74 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $549.54 / $691.83
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $2,041.74 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $645.65 / $831.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $3,890.45 / $6,025.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $676.08 / $912.01