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Washington, DC 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
$382.76 / $2,080.00 / $7,662.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.73 / $440.18 / $440.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.00 / $442.00 / $5,940.00