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Wisconsin 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
$208.93 / $512.86 / $6,456.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $316.23 / $645.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $3,090.30 / $5,754.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $660.69 / $1,412.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,148.15 / $1,862.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $616.60 / $1,023.29
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $676.08 / $3,311.31
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $691.83 / $1,023.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $645.65 / $1,659.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $562.34 / $1,862.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $630.96
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $741.31 / $1,318.26
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $1,584.89 / $1,584.89
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $457.09 / $2,691.53
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $457.09 / $707.95
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $1,071.52 / $1,584.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,584.89 / $1,949.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $446.68 / $1,122.02