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New Jersey 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
$499.05 / $5,123.50 / $10,202.00
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $400.00 / $400.00
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,157.14 / $8,900.56 / $16,974.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,378.00 / $8,305.00 / $14,121.00