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Montana rates for HCPCS 15775

Punch Graft Hair Transplant 1-15 Punch Grafts

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.89 / $1,349.53 / $1,961.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.13 / $400.13 / $400.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.11 / $400.13 / $594.15
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.89 / $365.00 / $584.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.95 / $450.73 / $712.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.79 / $614.79 / $671.83