go back

Idaho rates for HCPCS 15775

Punch Graft Hair Transplant 1-15 Punch Grafts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,897.00 / $4,500.00 / $7,761.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.05 / $384.60 / $572.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.86 / $394.85 / $589.72
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$264.98 / $392.43 / $601.01
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.42 / $497.48 / $731.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $583.15
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$569.62 / $958.04 / $1,244.19
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.25 / $491.30 / $700.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,800.00 / $8,244.00 / $9,193.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.04 / $442.80 / $614.79