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Texas 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

Facilitymedian $3,715 · 10th–90th $977–$12,0230%10%10th90th$3,715Professionalmedian $1,698 · 10th–90th $30–$11,7490%10%10th90th$1,698$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$977.24 / $3,715.35 / $12,022.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $3,019.95 / $11,748.98
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$812.83 / $3,162.28 / $8,912.51
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $4,570.88 / $14,125.38
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $44.67
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $4,466.84 / $10,000.00
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $316.23 / $316.23