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North Carolina 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
$1,245.00 / $6,735.00 / $8,413.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.00 / $1,338.00 / $8,413.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $75.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,248.00 / $9,541.00 / $14,589.00