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Georgia 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
$149.66 / $3,391.00 / $6,915.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,875.00 / $7,875.00 / $7,875.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.06 / $201.07 / $277.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.00 / $1,550.00 / $2,506.00