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Montana rates for HCPCS 29015

Application of Risser jacket, localizer, body; including head

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $302.00 / $776.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $288.40 / $288.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $263.03 / $457.09
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $457.09 / $549.54
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $457.09 / $549.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $316.23 / $457.09
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $302.00 / $602.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $338.84 / $512.86