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New Hampshire rates for HCPCS 15776

Punch Graft Hair Transplant >15 Punch Grafts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$614.32 / $1,577.22 / $2,678.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.96 / $361.79 / $498.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,223.09 / $1,359.00 / $3,300.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.29 / $575.60 / $955.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.36 / $2,000.36 / $2,070.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.53 / $723.36 / $1,269.91
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.86 / $897.39 / $1,558.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,448.00 / $7,448.00 / $7,448.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.86 / $777.77 / $1,789.68
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.31 / $389.63 / $484.21