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Colorado 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
$616.10 / $3,133.00 / $9,872.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,434.00 / $5,126.00 / $9,729.00
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$516.80 / $682.39 / $970.22
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.29 / $831.43 / $1,184.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,463.00 / $4,182.00 / $7,179.00