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Maryland rates for HCPCS 15773

Grafting Of Autologous Fat By Lipo 25 Cc Or Less

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,034.56 / $1,034.56 / $1,034.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$626.91 / $833.80 / $1,385.89