go back

Tennessee 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
$318.74 / $2,133.00 / $7,602.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.00 / $145.00 / $623.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $701.67 / $701.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.00 / $794.00 / $2,495.00