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Arkansas 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
$87.10 / $87.10 / $89.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $85.11 / $117.49
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $125.89 / $128.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218,776.16 / $524,807.46 / $954,992.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $138.04 / $181.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $114.82 / $141.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $85.11 / $114.82
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $144.54 / $144.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $165.96 / $194.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $70.79 / $95.50