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South Carolina rates for HCPCS 15775

Punch Graft Hair Transplant 1-15 Punch Grafts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$276.05 / $810.12 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.27 / $276.05 / $406.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.88 / $357.68 / $595.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.98 / $342.60 / $468.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.53 / $350.53 / $350.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.73 / $322.23 / $481.83
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.88 / $347.00 / $475.92
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.00 / $282.00 / $282.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.85 / $395.79 / $540.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.06 / $1,122.00 / $3,585.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.66 / $344.30 / $618.42