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West 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
$551.91 / $551.91 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.52 / $551.91 / $605.95
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,944.58 / $8,608.79 / $17,705.83
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119,998.80 / $119,998.80 / $119,998.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$623.33 / $623.33 / $623.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,595.91 / $2,595.91 / $2,595.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.00 / $754.22 / $1,485.10