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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
$4,500.00 / $4,500.00 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.45 / $360.81 / $581.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.11 / $171.11 / $171.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.64 / $313.73 / $497.45
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.29 / $369.60 / $639.99
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.61 / $446.38 / $602.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $424.20 / $533.67
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$484.12 / $653.04 / $813.70
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.19 / $416.70 / $611.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $1,800.00 / $9,193.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.48 / $433.54 / $605.83