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Louisiana rates for HCPCS 15775

Punch Graft Hair Transplant 1-15 Punch Grafts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$406.06 / $1,850.00 / $3,884.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.28 / $339.40 / $449.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$390.95 / $803.15 / $1,497.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.86 / $329.35 / $419.39
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.23 / $332.29 / $509.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.00 / $513.00 / $1,226.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.79 / $362.55 / $543.83