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Illinois 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
$416.87 / $2,290.87 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $323.59 / $645.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $707.95 / $4,786.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $398.11 / $630.96
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $512.86 / $2,089.30
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $323.59 / $512.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $758.58 / $2,187.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $354.81 / $660.69