| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $213.80 | $1,995.26 | $7,413.10 | |
Medica
| Facility | $54.95 | $218.78 | $1,288.25 | |
United
| Facility | $190.55 | $537.03 | $1,905.46 |
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 | $213.80 | $1,995.26 | $7,413.10 | |
Medica
| Facility | $54.95 | $218.78 | $1,288.25 | |
United
| Facility | $190.55 | $537.03 | $1,905.46 |