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Minnesota rates for HCPCS 29015

Application of Risser jacket, localizer, body; including head

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $302.00 / $302.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $257.04 / $446.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $776.25 / $1,949.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $562.34 / $1,047.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $1,122.02 / $2,691.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $691.83 / $1,318.26
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,047.13 / $2,137.96
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $691.83 / $1,230.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $371.54 / $851.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $549.54 / $1,621.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $1,819.70 / $3,467.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $407.38 / $891.25