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South Carolina 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
$407.38 / $8,709.64 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $275.42 / $407.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $323.59 / $575.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $371.54 / $512.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $323.59 / $478.63
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $537.03 / $537.03
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $346.74 / $489.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $1,230.27 / $3,548.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $281.84 / $512.86