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Arizona rates for HCPCS 15775

Punch graft for hair transplant; 1 to 15 punch grafts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $3,890.45 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $316.23 / $891.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $2,041.74 / $3,019.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $275.42 / $416.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $309.03 / $549.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $363.08 / $1,905.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $389.05 / $2,754.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $1,122.02 / $2,187.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $281.84 / $457.09