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Kansas 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
$858.69 / $3,701.00 / $10,439.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$755.00 / $928.15 / $977.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $613.36 / $3,019.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$825.00 / $2,081.00 / $3,918.00