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Maryland 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
$0.98 / $860.09 / $6,039.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,064.00 / $2,064.00 / $2,064.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$643.54 / $855.91 / $1,422.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,229.00 / $2,229.00 / $2,229.00