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South Carolina rates for HCPCS 29015

Application of Risser jacket, localizer, body; including head

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $7,943.28 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $263.03 / $446.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $562.34 / $1,000.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $281.84 / $398.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $309.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $295.12 / $537.03
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $346.74 / $660.69
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $295.12 / $537.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $1,202.26 / $3,548.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $239.88 / $407.38