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New Mexico 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
$368.91 / $7,838.38 / $8,763.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.98 / $368.91 / $1,349.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.97 / $372.79 / $589.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $570.16
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.59 / $351.43 / $572.59
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.17 / $398.80 / $606.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.00 / $1,158.00 / $1,401.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.45 / $476.28 / $682.56