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Connecticut 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
$69.52 / $69.52 / $191.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.52 / $71.75 / $85.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.85 / $143.03 / $163.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.77 / $85.77 / $91.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.38 / $115.38 / $141.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.23 / $84.23 / $115.38
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.97 / $92.97 / $92.97
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.97 / $100.12 / $143.03
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.79 / $80.79 / $80.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.47 / $72.93 / $137.74