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Maine rates for HCPCS 15775

Punch Graft Hair Transplant 1-15 Punch Grafts

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.81 / $258.44 / $296.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.89 / $389.67 / $574.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.35 / $465.01 / $734.58
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.98 / $470.45 / $784.20
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.81 / $205.81 / $296.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.56 / $417.03 / $755.68