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Georgia 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
$3,562.00 / $5,363.00 / $7,421.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,024.00 / $5,063.00 / $6,858.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,242.86 / $3,550.06 / $7,089.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.66 / $403.33 / $403.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,500.00 / $2,500.00 / $2,500.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,519.00 / $6,351.00 / $8,836.00