| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $137.82 | $174.40 | $1,400.00 | |
CareSource
| Facility | $152.58 | $152.58 | $187.18 | |
Cigna
| Facility | $244.66 | $244.66 | $244.66 | |
United
| Facility | $460.00 | $460.00 | $460.00 |
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)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $137.82 | $174.40 | $1,400.00 | |
CareSource
| Facility | $152.58 | $152.58 | $187.18 | |
Cigna
| Facility | $244.66 | $244.66 | $244.66 | |
United
| Facility | $460.00 | $460.00 | $460.00 |