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Montana rates for HCPCS 15776

Punch graft for hair transplant; more than 15 punch grafts

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.13 / $389.61 / $1,849.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$548.41 / $548.41 / $548.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466.15 / $575.60 / $803.42
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$307.55 / $493.53 / $789.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.20 / $609.44 / $961.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.37 / $843.31 / $921.54