| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.94 | $2,094.56 | $36,446.12 | |
Martin's Point
| Facility | $0.94 | $4,924.96 | $36,446.12 |
Grafting of autologous fat harvested by liposuction technique to trunk, breasts, scalp, arms, and/or legs; 50 cc or less injectate
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.94 | $2,094.56 | $36,446.12 | |
Martin's Point
| Facility | $0.94 | $4,924.96 | $36,446.12 |