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Utah rates for HCPCS L0120

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

Facilitymedian $20 · 10th–90th $9–$300%20%40%10th90th$20Professionalmedian $20 · 10th–90th $13–$740%10%10th90th$20$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $8.91 / $8.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $19.95 / $74.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $22.39 / $22.39
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $16.22 / $22.39
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $21.88 / $30.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $30.20 / $30.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $21.38 / $34.67
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $40.74
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $30.20 / $44.67
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $14.79 / $28.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $14.79 / $26.30