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Indiana 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
$15.77 / $15.77 / $31.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.77 / $16.63 / $19.73
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.18 / $28.52 / $31.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.54 / $18.11 / $24.99
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.42 / $35.06 / $47.81
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.09 / $35.06 / $43.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.18 / $22.18 / $31.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.19 / $22.18 / $32.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.94 / $15.28 / $22.47