| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $202.85 | $1,236.00 | $3,500.00 | |
BCBS
| Facility | $0.02 | $0.03 | $0.03 | |
United
| Facility | $194.00 | $513.00 | $1,226.00 |
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 | $202.85 | $1,236.00 | $3,500.00 | |
BCBS
| Facility | $0.02 | $0.03 | $0.03 | |
United
| Facility | $194.00 | $513.00 | $1,226.00 |