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Nationwide rates for HCPCS 15773

Grafting of autologous fat harvested by liposuction technique to face, eyelids, mouth, neck, ears, orbits, genitalia, hands, and/or feet; 25 cc or less injectate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $3,388.44 / $9,549.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $6,456.54 / $12,882.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $1,479.11 / $4,365.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $2,951.21 / $6,456.54