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Massachusetts rates for HCPCS 15775

Punch Graft Hair Transplant 1-15 Punch Grafts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.04 / $2,663.12 / $4,410.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.04 / $223.04 / $377.94
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$679.46 / $1,078.00 / $4,142.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.48 / $553.44 / $1,833.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.12 / $386.26 / $681.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.38 / $473.21 / $991.10
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.12 / $406.34 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.50 / $523.59 / $722.76
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.98 / $659.13 / $1,021.88
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $1,818.00 / $26,542.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.18 / $612.67 / $2,694.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $1,818.00 / $2,733.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.52 / $514.14 / $971.77