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Minnesota 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
$4,557.00 / $4,828.00 / $6,955.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,820.00 / $1,820.00 / $2,843.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,242.91 / $8,274.45 / $14,073.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.73 / $111.45 / $117.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,917.00 / $5,499.00 / $9,404.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,121.00 / $5,499.00 / $9,810.00