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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
$228.92 / $383.18 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.03 / $237.73 / $383.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.88 / $235.44 / $536.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.36 / $188.99 / $316.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.69 / $265.93 / $517.66
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.92 / $368.99 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.73 / $298.06 / $437.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.36 / $307.38 / $437.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $1,418.00 / $2,029.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.16 / $316.37 / $427.88