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Idaho 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
$2,884.03 / $4,466.84 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $323.59 / $575.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $446.68 / $1,202.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $501.19 / $724.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $389.05 / $549.54
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $416.87 / $630.96
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $478.63 / $794.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $891.25 / $1,288.25
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $537.03 / $794.33
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $371.54 / $724.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $8,317.64 / $9,332.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $380.19 / $549.54