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Alaska 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
$1,445.08 / $9,285.00 / $14,552.94
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$617.27 / $2,866.47 / $4,013.06
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$617.27 / $2,866.47 / $4,013.06