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Wisconsin rates for HCPCS 29015

Application Risser Jacket Localizer Body W/Head

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.39 / $369.23 / $1,129.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.39 / $290.24 / $941.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,139.00 / $2,479.00 / $4,441.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.65 / $400.13 / $1,060.32
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$334.36 / $334.36 / $334.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$805.60 / $941.41 / $1,444.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.83 / $711.93 / $1,378.49
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.10 / $302.02 / $615.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.38 / $363.10 / $1,449.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.58 / $618.98 / $2,232.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.83 / $328.96 / $706.33
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.90 / $302.02 / $615.30
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.01 / $652.63 / $1,047.75
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.86 / $292.86 / $844.32
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $1,276.97 / $2,232.23
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.72 / $568.72 / $935.55
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$699.24 / $1,132.98 / $1,930.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,008.00 / $1,370.00 / $2,202.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.56 / $531.33 / $1,228.38