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Massachusetts 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
$465.49 / $2,747.00 / $7,625.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$818.35 / $3,110.00 / $7,948.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$637.60 / $796.24 / $1,405.05
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.44 / $1,116.82 / $6,679.00
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.81 / $1,828.40 / $13,058.35
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $4,287.00 / $9,401.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $4,983.00 / $8,810.00