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Arizona rates for HCPCS 29015

Application of Risser jacket, localizer, body; including head

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $3,890.45 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $269.15 / $776.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $416.87 / $616.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $363.08 / $724.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $269.15 / $501.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $309.03 / $1,412.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $354.81 / $2,238.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $1,202.26 / $2,187.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $234.42 / $407.38