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Pennsylvania rates for HCPCS 15775

Punch Graft Hair Transplant 1-15 Punch Grafts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.94 / $3,623.00 / $7,799.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.50 / $257.70 / $391.56
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,083.51 / $1,395.00 / $12,759.45
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.00 / $382.92 / $599.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.67 / $327.91 / $569.60
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.94 / $573.35 / $592.96
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.00 / $3,839.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.96 / $328.19 / $1,820.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.60 / $329.60 / $346.10
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$431.85 / $431.85 / $431.85
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.31 / $334.99 / $586.50
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.86 / $248.28 / $366.21
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.16 / $266.50 / $391.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.00 / $650.00 / $4,300.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.51 / $383.60 / $726.54