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Kentucky 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
$125.64 / $175.70 / $3,740.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,584.00 / $10,099.00 / $11,253.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.62 / $186.16 / $214.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.66 / $244.66 / $244.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $597.00 / $3,176.00