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Nevada 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
$2,240.00 / $2,599.00 / $5,923.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,599.00 / $3,959.00 / $10,300.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,671.00 / $4,589.00 / $6,006.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.77 / $293.95 / $410.14
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.00 / $2,229.21 / $3,195.90
Hometown Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,046.03 / $4,046.03 / $4,046.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,642.00 / $3,060.00 / $9,042.00