| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $413.66 | $4,558.00 | $9,784.00 | |
Horizon BCBS
| Facility | $4,024.24 | $4,024.24 | $4,447.22 | |
United
| Facility | $3,705.00 | $5,265.00 | $10,536.00 |
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 | $413.66 | $4,558.00 | $9,784.00 | |
Horizon BCBS
| Facility | $4,024.24 | $4,024.24 | $4,447.22 | |
United
| Facility | $3,705.00 | $5,265.00 | $10,536.00 |