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Minnesota 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
$481.25 / $580.38 / $3,638.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.07 / $3,346.04 / $6,480.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,466.38 / $2,079.51 / $5,002.55
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,192.06 / $1,901.17 / $3,939.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$757.20 / $1,021.50 / $4,637.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,296.00 / $3,500.00 / $6,361.00