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Utah rates for HCPCS 15775

Punch Graft Hair Transplant 1-15 Punch Grafts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.02 / $3,294.00 / $7,568.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.45 / $250.88 / $572.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.13 / $360.30 / $561.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.17 / $347.64 / $421.18
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$571.79 / $756.04 / $1,101.77
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.81 / $391.01 / $465.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.00 / $1,556.00 / $4,495.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.60 / $371.00 / $530.00