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Ohio 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
$951.00 / $2,989.00 / $11,581.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$534.42 / $543.87 / $765.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$937.00 / $1,927.00 / $3,943.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.92 / $50.54 / $83.34
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$674.43 / $8,560.04 / $17,509.16
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.30 / $8,929.67 / $15,758.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $60.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,480.00 / $2,934.00 / $6,111.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.27 / $668.36 / $1,292.79