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Nationwide rates for HCPCS 15771

Grafting of autologous fat harvested by liposuction technique to trunk, breasts, scalp, arms, and/or legs; 50 cc or less injectate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $4,265.80 / $10,471.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $7,413.10 / $15,135.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $1,949.84 / $5,370.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $5,623.41 / $12,302.69