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Kansas 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
$816.61 / $4,874.00 / $12,154.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$755.00 / $2,209.96 / $2,326.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $634.49 / $4,678.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,779.00 / $3,647.00 / $6,988.00