go back

North Dakota 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
$475.22 / $2,397.37 / $7,675.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$475.22 / $728.10 / $2,876.50