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South Carolina 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
$543.04 / $5,107.20 / $9,727.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$611.99 / $1,150.29 / $1,952.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,248.31 / $1,248.31 / $1,604.11
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.85 / $773.71 / $1,160.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$659.00 / $6,607.00 / $8,667.00