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Minnesota 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
$81.28 / $3,235.94 / $7,943.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $7,079.46 / $16,595.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $2,238.72 / $5,370.32
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $2,137.96 / $4,168.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $1,548.82 / $5,495.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $6,760.83 / $10,715.19