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Indiana rates for HCPCS 29015

Application of Risser jacket, localizer, body; including head

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $1,380.38 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $257.04 / $446.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $4,466.84 / $8,709.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $186.21 / $309.03
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $181.97 / $204.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $281.84 / $501.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $269.15 / $457.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $2,137.96 / $5,754.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $239.88 / $416.87