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West Virginia rates for HCPCS 29015

Application of Risser jacket, localizer, body; including head

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.50 / $275.66 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.50 / $256.95 / $401.44
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.36 / $213.48 / $232.59
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.46 / $206.75 / $206.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.83 / $306.83 / $306.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.94 / $301.50 / $747.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.61 / $296.05 / $458.61