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Minnesota 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
$486.04 / $1,265.40 / $7,675.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,750.60 / $5,762.11 / $12,749.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,500.91 / $2,128.48 / $5,120.35
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,220.14 / $1,945.94 / $4,031.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$771.00 / $1,247.58 / $5,204.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,293.00 / $6,652.00 / $9,810.00