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New York 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
$1,584.89 / $3,981.07 / $9,332.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $602.56 / $758.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $3,630.78 / $5,011.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $45.71 / $81.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $933.25 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $2,570.40 / $2,570.40
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $645.65 / $1,174.90
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50,118.72 / $53,703.18 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $4,168.69 / $9,332.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $676.08 / $1,380.38
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $524.81 / $588.84
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $588.84 / $1,174.90