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Maine rates for HCPCS 15772

Grafting Of Autologous Fat By Lipo Ea Addl 50 Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.86 / $144.80 / $5,510.92
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.86 / $2,094.56 / $5,510.92