| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $155.49 | $3,051.50 | $8,084.00 | |
AmeriHealth
| Facility | $400.00 | $400.00 | $400.00 | |
United
| Facility | $1,529.00 | $3,352.00 | $10,536.00 |
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 | $155.49 | $3,051.50 | $8,084.00 | |
AmeriHealth
| Facility | $400.00 | $400.00 | $400.00 | |
United
| Facility | $1,529.00 | $3,352.00 | $10,536.00 |