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Virginia 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 $832 · 10th–90th $151–$7,0790%5%10th90th$832Professionalmedian $234 · 10th–90th $117–$3980%10%20%10th90th$234$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $2,630.27 / $8,317.64
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $234.42 / $288.40
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $398.11 / $398.11
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$138.04 / $199.53 / $316.23
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$134.90 / $190.55 / $1,659.59
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218.78 / $1,047.13 / $2,344.23