| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $544.50 | $3,777.17 | $8,031.00 | |
United
| Facility | $1,347.00 | $3,983.00 | $6,832.00 |
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 | $544.50 | $3,777.17 | $8,031.00 | |
United
| Facility | $1,347.00 | $3,983.00 | $6,832.00 |