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Michigan 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
$595.90 / $3,573.69 / $9,123.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,859.70 / $7,967.95 / $18,711.68
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$596.29 / $4,698.00 / $9,577.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,296.00 / $7,849.00 / $9,202.00