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Oklahoma 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
$380.19 / $2,630.27 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $263.03 / $467.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $331.13 / $478.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $398.11 / $1,659.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $380.19 / $2,754.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $630.96 / $1,659.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $288.40 / $416.87