go back

Washington rates for HCPCS L0170

Cervical, collar, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$577.59 / $1,311.13 / $1,368.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.87 / $577.59 / $1,368.89
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$749.44 / $1,966.54 / $3,888.75
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.54 / $727.50 / $4,610.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$454.00 / $454.00 / $454.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.42 / $331.42 / $613.20
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$479.44 / $855.88 / $2,216.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.40 / $855.88 / $1,541.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$590.50 / $656.12 / $721.73
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$679.38 / $770.29 / $855.88
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.38 / $813.09 / $855.88
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$749.44 / $961.19 / $1,671.64
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$814.64 / $835.82 / $835.82
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.92 / $727.50 / $941.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.13 / $390.99 / $691.55
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.40 / $374.40 / $452.73