go back

Michigan rates for HCPCS L0130

Cervical Flexible Thermoplastic Collar Molded To Patient

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.03 / $105.03 / $105.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.23 / $105.03 / $121.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$278.36 / $554.60 / $1,010.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.71 / $183.91 / $248.28
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.54 / $144.74 / $159.30
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.13 / $147.13 / $147.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.23 / $126.23 / $126.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.23 / $126.23 / $213.38
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.03 / $132.90 / $132.90
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.03 / $132.90 / $208.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.59 / $136.09 / $156.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.80 / $87.92 / $131.63