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Kentucky 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
$435.96 / $812.35 / $8,774.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,643.00 / $3,498.00 / $8,517.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$484.30 / $659.47 / $760.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$866.73 / $866.73 / $866.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.00 / $3,828.00 / $8,582.00