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Montana rates for HCPCS 29015

Application Risser Jacket Localizer Body W/Head

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.21 / $413.57 / $1,530.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$286.04 / $286.04 / $286.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.41 / $275.68 / $479.53
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.56 / $240.89 / $331.22
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.74 / $363.86 / $565.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.32 / $456.41 / $526.08