go back

Georgia 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
$154.03 / $2,307.36 / $6,915.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,875.00 / $7,875.00 / $7,875.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.72 / $197.25 / $212.32
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.07 / $207.56 / $284.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.00 / $1,550.00 / $2,665.00