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Nebraska rates for HCPCS 29015

Application of Risser jacket, localizer, body; including head

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $7,943.28 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $295.12 / $977.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $891.25 / $1,737.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $331.13 / $562.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $229.09 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $524.81 / $724.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $371.54 / $851.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $524.81 / $2,238.72
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $562.34 / $831.76
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $229.09 / $229.09
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $549.54 / $891.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $1,230.27 / $4,466.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $371.54 / $691.83