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Tennessee rates for HCPCS 29015

Application of Risser jacket, localizer, body; including head

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.71 / $2,678.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.79 / $251.85 / $383.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$756.00 / $1,487.00 / $2,244.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.72 / $293.67 / $492.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.82 / $305.45 / $502.43
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $917.65 / $917.65
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,608.00 / $2,215.76 / $2,636.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.00 / $808.00 / $2,577.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.41 / $311.49 / $610.21