go back

Indiana rates for HCPCS L0160

Cervical, semi-rigid, wire frame occipital/mandibular support, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.20 / $93.20 / $188.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.62 / $96.79 / $105.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.76 / $168.54 / $188.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.87 / $105.98 / $146.25
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.59 / $207.14 / $282.47
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.06 / $207.14 / $254.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.82 / $121.82 / $188.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.93 / $121.82 / $193.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.68 / $90.02 / $132.60