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Michigan 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
$436.52 / $4,073.80 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $309.03 / $501.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $239.88 / $239.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $380.19 / $380.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $323.59 / $1,174.90
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $4,073.80 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $354.81 / $501.19
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $302.00 / $1,047.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $1,000.00 / $1,862.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $323.59 / $457.09