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New Hampshire rates for HCPCS 29015

Application of Risser jacket, localizer, body; including head

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $831.76 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $275.42 / $457.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $1,412.54 / $2,630.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $346.74 / $489.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $416.87 / $776.25
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $7,413.10 / $7,413.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $407.38 / $776.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $7,413.10 / $7,413.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $363.08 / $724.44
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $229.09 / $363.08