go back

Tennessee 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
$459.02 / $2,678.00 / $7,602.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,917.00 / $3,500.00 / $5,878.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,609.75 / $2,609.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $4,463.00 / $7,669.00