go back

Montana rates for HCPCS 29010

Application of Risser jacket, localizer, body; only

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.96 / $259.31 / $478.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.49 / $254.49 / $254.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.94 / $245.20 / $447.98
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.07 / $227.45 / $330.27
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.36 / $327.60 / $519.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.70 / $427.27 / $488.31