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Florida 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
$478.63 / $3,761.82 / $12,444.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $977.92 / $1,164.19
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,144.00 / $5,731.00 / $11,037.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$803.00 / $3,611.00 / $8,105.00