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Tennessee 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
$575.00 / $2,303.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.96 / $546.42 / $567.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,375.00 / $2,387.00 / $4,528.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.85 / $682.20 / $1,108.36
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,235.65 / $2,747.78 / $2,747.78
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,937.28 / $4,051.68 / $4,716.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,233.00 / $2,665.00 / $4,918.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.55 / $694.31 / $1,279.91