| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.99 | $239.58 | $4,845.92 | |
Kaiser Permanente
| Professional | $201.49 | $267.98 | $440.18 |
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 | $0.99 | $239.58 | $4,845.92 | |
Kaiser Permanente
| Professional | $201.49 | $267.98 | $440.18 |