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Minnesota 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
$138.59 / $183.38 / $3,238.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $308.35 / $1,016.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$463.25 / $656.94 / $1,580.36
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.59 / $600.60 / $1,244.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.58 / $316.00 / $3,006.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$563.00 / $1,749.00 / $2,883.00