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Pennsylvania rates for HCPCS L0120

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.77 / $12.96 / $26.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.70 / $16.27 / $32.68
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.98 / $31.50 / $31.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.18 / $22.18 / $31.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.19 / $16.19 / $34.15
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.51 / $29.90 / $56.81
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.58 / $4.58 / $14.77
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.28 / $21.28 / $21.28
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.22 / $14.33 / $90.24
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.91 / $17.94 / $32.68
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $13.10 / $58.90
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.18 / $22.18 / $31.55
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.19 / $17.00 / $37.13
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.92 / $29.98 / $29.98
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.92 / $29.98 / $30.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.50 / $15.78 / $27.52