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Tennessee 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
$606.00 / $2,303.00 / $7,602.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,610.00 / $2,800.00 / $3,710.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $3,466.74 / $3,528.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,128.00 / $2,297.00 / $4,326.00