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Indiana 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
$354.81 / $4,897.79 / $11,220.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $302.00 / $537.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $4,466.84 / $8,709.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $331.13 / $524.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $389.05 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $323.59 / $489.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $2,137.96 / $5,754.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $295.12 / $501.19