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Minnesota 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
$67.08 / $134.55 / $2,168.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $297.02 / $979.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.61 / $639.02 / $1,537.26
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.31 / $584.22 / $1,210.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.99 / $303.07 / $1,727.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,063.00 / $1,597.44 / $3,584.00