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Pennsylvania 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
$594.00 / $2,422.00 / $7,799.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.99 / $509.84 / $714.64
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$641.00 / $2,422.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.99 / $551.91 / $1,978.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$623.33 / $623.33 / $623.33
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,595.91 / $2,595.91 / $2,595.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.00 / $2,391.00 / $6,322.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$534.24 / $649.03 / $1,201.31