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Missouri rates for HCPCS 29015

Application of Risser jacket, localizer, body; including head

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.10 / $4,261.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.71 / $248.47 / $371.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.21 / $212.60 / $303.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.79 / $308.22 / $561.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.23 / $307.86 / $719.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.02 / $424.13 / $2,232.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.00 / $815.00 / $1,351.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.00 / $354.22 / $604.33