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New York rates for HCPCS 29015

Application of Risser jacket, localizer, body; including head

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.50 / $2,465.00 / $9,868.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.02 / $253.37 / $470.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $3,373.00 / $4,707.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.23 / $286.05 / $647.57
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.69 / $251.69 / $6,213.00
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.69 / $251.69 / $404.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.83 / $306.83 / $14,648.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.60 / $361.18 / $908.08
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.24 / $279.81 / $484.29
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.70 / $457.05 / $700.09
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$286.56 / $286.56 / $286.56
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.86 / $360.81 / $636.49
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.83 / $555.00 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.99 / $380.34 / $893.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$964.00 / $2,826.00 / $4,851.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.59 / $358.20 / $898.44
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.50 / $215.50 / $757.96
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.50 / $399.35 / $636.49