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Virginia rates for HCPCS 15775

Punch Graft Hair Transplant 1-15 Punch Grafts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$256.52 / $4,691.00 / $8,294.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.47 / $316.14 / $391.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,735.00 / $2,390.00 / $2,954.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.49 / $358.60 / $527.32
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.59 / $246.59 / $916.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$431.85 / $431.85 / $431.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.68 / $350.61 / $651.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.29 / $438.78 / $522.36
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.08 / $330.89 / $469.45
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.00 / $443.00 / $684.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.27 / $313.85 / $1,239.64
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.14 / $446.28 / $1,380.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.00 / $1,045.00 / $2,364.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.77 / $370.69 / $658.17