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Washington, DC 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
$1,017.00 / $2,928.50 / $6,667.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$684.87 / $1,422.97 / $1,422.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,648.00 / $3,378.00 / $26,408.00