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Louisiana 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
$446.68 / $1,949.84 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $316.23 / $478.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $794.33 / $1,479.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $323.59 / $416.87
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $346.74 / $512.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $512.86 / $1,230.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $316.23 / $537.03