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Oregon 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
$265.73 / $1,171.17 / $7,920.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.38 / $363.94 / $461.75
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.17 / $296.57 / $493.85
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.84 / $349.74 / $385.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.17 / $365.20 / $493.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.00 / $3,290.00 / $6,216.00