| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,445.08 | $9,285.00 | $14,552.94 | |
Moda Health
| Facility | $617.27 | $2,866.47 | $4,013.06 | |
Providence
| Facility | $617.27 | $2,866.47 | $4,013.06 |
Grafting of autologous fat harvested by liposuction technique to trunk, breasts, scalp, arms, and/or legs; 50 cc or less injectate
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,445.08 | $9,285.00 | $14,552.94 | |
Moda Health
| Facility | $617.27 | $2,866.47 | $4,013.06 | |
Providence
| Facility | $617.27 | $2,866.47 | $4,013.06 |