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Hawaii rates for HCPCS 15776

Punch graft for hair transplant; more than 15 punch grafts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $4,466.84 / $4,466.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $398.11 / $724.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $537.03 / $645.65
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $616.60 / $676.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $588.84 / $724.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,071.52 / $1,071.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $537.03 / $831.76
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $407.38 / $616.60