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Iowa 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
$3,496.00 / $4,964.00 / $7,119.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,014.00 / $4,014.00 / $4,014.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $150.00 / $150.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,936.00 / $6,588.00 / $10,320.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,936.00 / $3,425.33 / $4,599.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,341.00 / $6,588.00 / $10,320.00