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Idaho rates for HCPCS 29015

Application of Risser jacket, localizer, body; including head

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $5,495.41 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $281.84 / $537.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $416.87 / $812.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $398.11 / $602.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $169.82 / $169.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $309.03 / $478.63
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $346.74 / $707.95
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $426.58 / $676.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $602.56 / $851.14
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $380.19 / $602.56
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $309.03 / $645.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $1,819.70 / $9,332.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $309.03 / $524.81