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Texas 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
$608.30 / $2,244.00 / $7,513.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.52 / $584.76 / $633.54
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,235.65 / $2,520.51 / $2,747.78
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,937.28 / $4,051.68 / $4,716.38
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.93 / $608.30 / $836.21
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$521.61 / $521.61 / $521.61
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.93 / $608.30 / $836.21
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$521.61 / $521.61 / $521.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.00 / $2,064.00 / $8,759.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.67 / $648.89 / $970.91
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.85 / $60.85 / $82.15