go back

Kentucky 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
$440.84 / $596.16 / $5,320.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.00 / $2,316.00 / $4,229.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.93 / $646.37 / $745.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$849.51 / $849.51 / $849.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$523.00 / $1,450.00 / $5,301.00