| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $467.10 | $2,662.09 | $3,955.04 | |
United
| Facility | $3,146.00 | $4,086.00 | $9,622.00 |
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 | $467.10 | $2,662.09 | $3,955.04 | |
United
| Facility | $3,146.00 | $4,086.00 | $9,622.00 |