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Washington, DC 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
$191.24 / $2,080.00 / $4,100.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.73 / $428.13 / $428.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.00 / $549.00 / $5,940.00