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Virginia 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
$676.08 / $3,235.94 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $562.34 / $758.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $2,570.40 / $2,951.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $64.57 / $93.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $933.25 / $933.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $2,570.40 / $2,570.40
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $645.65 / $776.25
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $645.65 / $891.25
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $831.76 / $5,248.07
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $831.76 / $5,248.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $3,467.37 / $7,079.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $707.95 / $1,230.27