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Michigan rates for HCPCS L0120

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $18.20 / $35.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.77 / $17.95 / $19.73
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.90 / $23.90 / $23.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.24 / $96.96 / $175.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.28 / $31.87 / $43.02
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.48 / $20.72 / $22.03
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.50 / $25.50 / $25.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.18 / $22.18 / $31.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.18 / $22.18 / $37.13
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $23.02 / $35.84
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.94 / $23.02 / $32.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.33 / $23.58 / $27.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.13 / $14.96 / $23.65