| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $191.24 | $2,080.00 | $4,100.00 | |
Kaiser Permanente
| Professional | $207.73 | $428.13 | $428.13 | |
United
| Facility | $165.00 | $549.00 | $5,940.00 |
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 | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $191.24 | $2,080.00 | $4,100.00 | |
Kaiser Permanente
| Professional | $207.73 | $428.13 | $428.13 | |
United
| Facility | $165.00 | $549.00 | $5,940.00 |