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Montana rates for HCPCS 0490T

Autologous adipose-derived regenerative cell therapy for scleroderma in the hands; multiple injections in one or both hands

Facilitymedian $955 · 10th–90th $871–$9770%50%10th90th$955Professionalmedian $631 · 10th–90th $427–$9550%20%10th90th$631$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $602.56 / $691.83
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $870.96 / $870.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $741.31 / $870.96
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $954.99 / $977.24
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $954.99 / $977.24
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $616.60 / $870.96
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $741.31 / $870.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $1,047.13 / $1,174.90