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Nevada rates for HCPCS 15772

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)

Facilitymedian $1,698 · 10th–90th $200$4,4670%10%10th90th$1,698Professionalmedian $204 · 10th–90th $123$3310%10%20%10th90th$204$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$371.54 / $1,698.24 / $4,466.84
Hometown Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $204.17 / $331.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$154.88 / $1,047.13 / $2,041.74