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Colorado 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
$225.56 / $3,008.00 / $8,358.66
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.46 / $203.14 / $308.05
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.63 / $247.98 / $377.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$658.00 / $1,464.00 / $3,011.00