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Kentucky 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
$637.00 / $1,758.00 / $8,229.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,758.00 / $2,747.00 / $8,229.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,830.00 / $6,559.00 / $7,288.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.93 / $401.74 / $418.97
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,249.87 / $55,999.44 / $83,999.17
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65,999.34 / $74,024.27 / $104,998.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $3,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.00 / $3,828.00 / $8,582.00