go back

Louisiana rates for HCPCS 29015

Application of Risser jacket, localizer, body; including head

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $2,570.40 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $263.03 / $457.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $436.52 / $851.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $288.40 / $478.63
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $165.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $89.13 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $302.00 / $478.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $501.19 / $1,202.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $257.04 / $426.58