go back

Nevada rates for HCPCS 15773

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
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$585.53 / $2,173.00 / $4,841.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,072.00 / $3,931.00 / $5,258.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,032.25 / $1,032.25 / $1,032.25
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.20 / $713.45 / $1,296.30
Hometown Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,178.45 / $2,021.63 / $2,021.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$721.00 / $2,200.00 / $6,317.00