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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
$166.12 / $273.86 / $4,846.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.38 / $240.00 / $302.73
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$856.00 / $4,320.00 / $8,230.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.38 / $187.64 / $258.94
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.63 / $212.73 / $370.55
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.97 / $332.36 / $415.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.01 / $191.01 / $226.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.75 / $275.64 / $495.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.00 / $2,252.00 / $4,426.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.13 / $287.76 / $511.24