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Alaska rates for HCPCS L0172

Cervical, collar, semi-rigid thermoplastic foam, two piece, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.73 / $85.73 / $85.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.90 / $156.63 / $156.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.38 / $115.38 / $115.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.23 / $115.38 / $122.99
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.07 / $46.07 / $46.07
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.75 / $173.70 / $274.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.07 / $46.07 / $115.38
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.23 / $115.38 / $170.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.37 / $91.22 / $228.05