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Delaware 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
$1,110.10 / $6,434.77 / $15,202.70
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,630.15 / $7,630.15 / $7,630.15