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Virginia 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 / $380.19 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $257.04 / $467.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $2,570.40 / $2,951.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $263.03 / $446.68
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $213.80 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $288.40 / $524.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $416.87 / $501.19
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $346.74 / $660.69
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $302.00 / $501.19
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $269.15 / $269.15
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $218.78 / $1,288.25
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $346.74 / $1,380.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $1,202.26 / $2,398.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $251.19 / $478.63