| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $480.63 | $2,500.00 | $3,080.15 | |
Medica
| Facility | $480.63 | $713.94 | $1,441.89 |
Grafting of autologous fat harvested by liposuction technique to face, eyelids, mouth, neck, ears, orbits, genitalia, hands, and/or feet; 25 cc or less injectate
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $480.63 | $2,500.00 | $3,080.15 | |
Medica
| Facility | $480.63 | $713.94 | $1,441.89 |