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Minnesota 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
$531.46 / $531.46 / $2,168.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.99 / $531.46 / $546.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$605.67 / $918.94 / $1,611.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$803.61 / $875.46 / $875.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.88 / $922.45 / $3,500.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.78 / $1,103.10 / $2,437.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,751.00 / $3,500.00 / $8,152.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$668.36 / $1,005.78 / $2,240.46