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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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $602.56 / $691.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $870.96 / $870.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $741.31 / $870.96
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $954.99 / $977.24
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $954.99 / $977.24
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $549.54 / $870.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $741.31 / $870.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,047.13 / $1,148.15