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Arkansas rates for HCPCS L0120

Cervical Flexible Non-Adjustable Prefabricated Off-The-Shelf (Foam Collar) (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.62 / $16.62 / $16.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.01 / $16.62 / $18.14
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.92 / $23.92 / $23.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219,999.78 / $539,999.46 / $949,999.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.81 / $34.15 / $37.96
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.50 / $31.50 / $33.89
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.50 / $31.50 / $31.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.18 / $22.18 / $31.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.19 / $22.18 / $23.36
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.51 / $27.51 / $27.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.94 / $13.90 / $19.01