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Indiana 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)

Facilitymedian $2,291 · 10th–90th $135–$5,6230%10%10th90th$2,291$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $3,801.89 / $5,623.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$125.89 / $125.89 / $239.88
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$138.04 / $141.25 / $162.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$134.90 / $190.55 / $213.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$933.25 / $2,290.87 / $7,413.10