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Louisiana 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
$762.00 / $1,958.00 / $4,050.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$665.00 / $3,011.00 / $5,607.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.69 / $126.16 / $256.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $400.00 / $400.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.00 / $3,474.00 / $9,160.00