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Hawaii rates for HCPCS L0120

Cervical, flexible, nonadjustable, prefabricated, off-the-shelf (foam collar)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.94 / $17.94 / $18.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.98 / $46.98 / $46.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.18 / $22.18 / $65.06
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.15 / $61.94 / $61.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.49 / $59.15 / $82.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.82 / $46.98 / $65.06
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.86 / $47.64 / $56.30