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Maine rates for HCPCS 15775

Punch graft for hair transplant; 1 to 15 punch grafts

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $295.12 / $602.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $398.11 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $446.68 / $831.76
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $489.78 / $776.25
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $389.05 / $1,148.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $398.11 / $758.58