| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,361.00 | $3,506.00 | $10,439.00 | |
Medica
| Facility | $55.00 | $176.26 | $1,087.00 | |
United
| Facility | $231.84 | $611.00 | $1,915.00 |
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 | $1,361.00 | $3,506.00 | $10,439.00 | |
Medica
| Facility | $55.00 | $176.26 | $1,087.00 | |
United
| Facility | $231.84 | $611.00 | $1,915.00 |