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Utah rates for HCPCS 29010

Application of Risser jacket, localizer, body; only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $3,388.44 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $269.15 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $257.04 / $467.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $281.84
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $467.74 / $1,023.29
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $363.08 / $562.34
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $323.59 / $467.74
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $389.05 / $562.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $4,466.84 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $223.87 / $380.19