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Pennsylvania rates for HCPCS 15776

Punch Graft Hair Transplant >15 Punch Grafts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$472.09 / $3,623.00 / $7,799.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.82 / $389.61 / $611.95
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,083.51 / $1,395.00 / $12,759.45
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.44 / $518.29 / $868.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.11 / $467.42 / $785.96
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$603.12 / $775.44 / $802.14
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.00 / $3,839.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.88 / $443.38 / $2,069.29
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.90 / $447.90 / $470.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$591.78 / $591.78 / $591.78
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.52 / $483.28 / $804.51
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.39 / $339.52 / $494.76
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.35 / $386.57 / $528.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.00 / $650.00 / $4,300.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.02 / $530.29 / $945.80