| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $254.45 | $1,577.26 | $3,706.14 | |
United
| Facility | $540.00 | $1,183.00 | $4,915.00 |
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 | $254.45 | $1,577.26 | $3,706.14 | |
United
| Facility | $540.00 | $1,183.00 | $4,915.00 |