| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $178.63 | $927.00 | $3,788.20 | |
BCBS
| Facility | $2,607.25 | $3,164.02 | $4,256.62 | |
United
| Facility | $241.00 | $850.00 | $1,349.00 |
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 | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $178.63 | $927.00 | $3,788.20 | |
BCBS
| Facility | $2,607.25 | $3,164.02 | $4,256.62 | |
United
| Facility | $241.00 | $850.00 | $1,349.00 |