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