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Nebraska 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
$2,187.76 / $6,025.60 / $12,589.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $537.03 / $758.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,412.54 / $2,754.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $851.14 / $1,148.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,023.29 / $1,258.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $870.96 / $7,943.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,122.02 / $4,073.80
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,023.29 / $1,258.93
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,174.90 / $1,174.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $4,466.84 / $13,803.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,096.48 / $1,479.11