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Minnesota rates for HCPCS L0120

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.14 / $22.14 / $22.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.53 / $17.94 / $22.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.30 / $31.87 / $44.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.50 / $30.28 / $31.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.18 / $98.28 / $272.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.13 / $39.35 / $47.15
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.35 / $94.30 / $214.94
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.13 / $37.13 / $38.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.63 / $31.87 / $160.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.94 / $15.90 / $43.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.94 / $15.23 / $37.19