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New York 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

Facilitymedian $5,495 · 10th–90th $759–$13,4900%10%10th90th$5,495$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691.83 / $4,897.79 / $13,182.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,073.80 / $7,762.47 / $13,803.84
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $1,258.93 / $8,912.51
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $4,365.16 / $53,703.18
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $562.34 / $1,258.93
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,737.80 / $2,290.87 / $11,748.98
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,344.23 / $4,897.79 / $10,471.29
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$302.00 / $537.03 / $588.84