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Georgia rates for HCPCS 15773

Grafting Of Autologous Fat By Lipo 25 Cc Or Less

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$497.16 / $4,592.00 / $6,915.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$996.37 / $2,722.51 / $5,292.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,239.30 / $1,239.30 / $1,239.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$547.79 / $657.67 / $883.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$607.00 / $3,218.00 / $5,272.00