go back

Iowa 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
$1,147.00 / $2,624.18 / $7,119.04
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.79 / $878.03 / $3,239.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$753.08 / $1,399.27 / $9,401.94
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.85 / $1,512.37 / $3,628.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,341.00 / $7,091.00 / $10,320.00