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South Carolina 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
$156.11 / $4,230.00 / $9,870.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.94 / $1,144.39 / $1,953.76
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.88 / $232.37 / $343.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$384.00 / $1,138.00 / $2,922.00