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Utah 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
$9.63 / $9.63 / $9.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.63 / $18.67 / $73.59
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 / $22.18 / $37.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.90 / $21.91 / $29.57
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.18 / $29.20 / $29.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.63 / $20.93 / $31.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.68 / $14.92 / $17.52