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Georgia 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
$493.03 / $4,501.00 / $7,421.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,206.01 / $3,514.57 / $6,339.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,472.46 / $2,472.46 / $2,472.46
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.29 / $664.60 / $906.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,519.00 / $6,351.00 / $8,836.00