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Virginia 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
$338.84 / $4,365.16 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $309.03 / $501.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $2,570.40 / $2,951.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $398.11 / $616.60
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $776.25 / $1,047.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $436.52 / $1,862.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $354.81 / $588.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $478.63 / $575.44
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $380.19 / $537.03
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $331.13 / $537.03
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $616.60 / $616.60
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $323.59 / $4,073.80
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $446.68 / $4,073.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $1,202.26 / $2,511.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $331.13 / $575.44