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California rates for HCPCS 15771

Grafting Of Autologous Fat By Lipo 50 Cc Or Less

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,032.00 / $6,887.90 / $18,119.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,629.00 / $7,028.00 / $15,328.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.09 / $100.00 / $20,013.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,472.69 / $2,922.26 / $6,884.60
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.77 / $726.07 / $962.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.55 / $742.86 / $1,225.99
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,401.16 / $2,609.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$541.41 / $740.50 / $1,008.82
Sutter Health Plus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,156.00 / $5,156.00 / $5,156.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,509.00 / $9,713.00 / $21,278.00