| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $475.22 | $2,397.37 | $7,675.76 | |
Medica
| Facility | $475.22 | $728.10 | $2,876.50 |
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 | $475.22 | $2,397.37 | $7,675.76 | |
Medica
| Facility | $475.22 | $728.10 | $2,876.50 |