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Oklahoma 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)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.00 / $3,612.00 / $7,500.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,360.29 / $8,472.26 / $13,489.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.00 / $199.80 / $1,676.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $610.00 / $1,883.00