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Missouri 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
$20.87 / $21.63 / $29.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.38 / $21.63 / $33.01
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.39 / $35.00 / $39.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.86 / $41.86 / $184.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.51 / $18.11 / $32.25
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 / $16.19 / $26.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.62 / $29.95 / $160.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.26 / $19.89 / $48.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.43 / $19.71 / $28.23