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Michigan rates for HCPCS 29015

Application of Risser jacket, localizer, body; including head

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $4,897.79 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $251.19 / $398.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $275.42 / $275.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $275.42 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $263.03 / $524.81
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $812.83 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $309.03 / $426.58
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $239.88 / $489.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $851.14 / $1,737.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $251.19 / $363.08