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Arkansas rates for HCPCS 29015

Application of Risser jacket, localizer, body; including head

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.37 / $346.45 / $3,109.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.15 / $248.65 / $346.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.00 / $244.00 / $292.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.99 / $279.39 / $419.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.70 / $236.70 / $236.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.66 / $313.80 / $475.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.00 / $328.00 / $768.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.65 / $319.80 / $543.19