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Nebraska 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
$3,502.17 / $8,477.27 / $20,928.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,335.87 / $4,520.96 / $8,486.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.42 / $878.98 / $5,419.46
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.85 / $1,399.27 / $3,628.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,341.00 / $7,441.00 / $8,816.00