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South Carolina 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
$645.65 / $6,025.60 / $16,595.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $1,096.48 / $1,862.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $1,258.93 / $1,258.93
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $660.69 / $1,148.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $6,760.83 / $10,000.00