go back

Arizona 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
$50.53 / $170.93 / $325.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.73 / $85.90 / $150.85
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.08 / $138.08 / $161.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.84 / $143.91 / $260.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.60 / $132.80 / $180.94
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 / $84.23 / $198.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.07 / $124.27 / $749.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.43 / $71.36 / $107.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.48 / $71.36 / $105.07