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Connecticut rates for HCPCS 0717T

Autologous adipose-derived regenerative cell (ADRC) therapy for partial thickness rotator cuff tear; adipose tissue harvesting, isolation and preparation of harvested cells, including incubation with cell dissociation enzymes, filtration, washing and concentration of ADRCs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,090.00 / $7,088.65 / $9,637.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,216.00 / $5,468.00 / $8,808.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,873.00 / $9,678.00 / $12,904.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.83 / $486.17 / $1,000.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$843.00 / $843.00 / $843.00
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,346.67 / $2,466.00 / $2,518.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,325.00 / $7,843.00 / $11,371.00