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New Jersey 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
$4,128.00 / $6,438.00 / $11,040.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,695.00 / $9,465.00 / $12,384.00
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,054.02 / $8,157.14 / $8,900.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,378.00 / $8,305.00 / $14,121.00