| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $150.88 | $4,477.00 | $9,950.00 | |
United
| Facility | $1,341.00 | $2,626.00 | $5,864.00 |
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 | $150.88 | $4,477.00 | $9,950.00 | |
United
| Facility | $1,341.00 | $2,626.00 | $5,864.00 |