| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,679.50 | $7,340.00 | $13,413.92 | |
Moda Health
| Facility | $608.32 | $2,833.72 | $3,967.21 | |
Providence
| Facility | $608.32 | $2,833.72 | $3,967.21 |
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 | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,679.50 | $7,340.00 | $13,413.92 | |
Moda Health
| Facility | $608.32 | $2,833.72 | $3,967.21 | |
Providence
| Facility | $608.32 | $2,833.72 | $3,967.21 |