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Oklahoma rates for HCPCS 15774

Grafting Of Autologous Fat By Lipo Ea Addl 25 Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.00 / $2,876.00 / $7,500.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,868.30 / $6,114.08 / $9,735.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.00 / $195.74 / $1,676.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.00 / $727.00 / $1,615.00