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Colorado rates for HCPCS 15774

Grafting of autologous fat harvested by liposuction technique to face, eyelids, mouth, neck, ears, orbits, genitalia, hands, and/or feet; each additional 25 cc injectate, or part thereof (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$902.23 / $3,133.00 / $8,652.00
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.76 / $196.76 / $301.52
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.70 / $242.03 / $368.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$675.00 / $1,262.00 / $2,720.00