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Rhode Island rates for HCPCS 29015

Application of Risser jacket, localizer, body; including head

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $3,981.07 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $281.84 / $537.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $275.42 / $478.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $338.84 / $549.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $1,412.54 / $6,456.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $269.15 / $562.34