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New Hampshire rates for HCPCS 15775

Punch Graft Hair Transplant 1-15 Punch Grafts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$449.44 / $1,138.78 / $2,678.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.04 / $241.99 / $368.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,223.09 / $1,359.00 / $3,300.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.74 / $423.67 / $704.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.36 / $2,000.36 / $2,070.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.37 / $500.08 / $941.29
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.45 / $660.84 / $1,174.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,448.00 / $7,448.00 / $7,448.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.87 / $603.73 / $1,418.76
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.92 / $284.08 / $353.41