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Nationwide rates for HCPCS 15772

Grafting of autologous fat harvested by liposuction technique to trunk, breasts, scalp, arms, and/or legs; each additional 50 cc injectate, or part thereof (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.31 / $2,080.00 / $6,691.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,402.00 / $7,007.00 / $9,663.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $323.00 / $908.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.00 / $1,221.00 / $2,883.00