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Oregon 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)

Facilitymedian $363 · 10th–90th $204–$5,0120%20%10th90th$363Professionalmedian $339 · 10th–90th $229–$4790%10%10th90th$339$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $416.87 / $6,606.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $338.84 / $478.63
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162.18 / $245.47 / $467.74
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218.78 / $363.08 / $363.08
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162.18 / $245.47 / $426.58
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$389.05 / $4,073.80 / $6,165.95