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South Carolina 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
$1,231.23 / $5,515.65 / $12,680.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$611.99 / $1,159.13 / $1,952.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,490.46 / $2,490.46 / $3,200.28
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$531.28 / $773.61 / $1,165.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $12,798.00 / $19,665.00