| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $76.15 | $76.15 | $113.43 | |
Cigna
| Professional | $89.28 | $89.28 | $89.28 | |
United
| Professional | $115.92 | $165.60 | $347.10 |
Dermal filler injection(s) for the treatment of facial lipodystrophy syndrome (LDS) (e.g., as a result of highly active antiretroviral therapy)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $76.15 | $76.15 | $113.43 | |
Cigna
| Professional | $89.28 | $89.28 | $89.28 | |
United
| Professional | $115.92 | $165.60 | $347.10 |