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Oklahoma rates for HCPCS 29015

Application of Risser jacket, localizer, body; including head

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $3,683.00 / $18,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.11 / $240.00 / $296.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$273.33 / $434.24 / $686.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.77 / $229.77 / $229.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.71 / $284.33 / $444.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.85 / $296.11 / $996.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.61 / $297.22 / $2,232.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.00 / $610.00 / $1,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.50 / $278.82 / $439.35