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Idaho 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
$69.18 / $158.49 / $199.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $91.20 / $162.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $151.36 / $234.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $173.78 / $173.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $114.82 / $114.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $85.11 / $114.82
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $134.90 / $181.97
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $151.36 / $158.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $134.90
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $151.36 / $151.36
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $109.65 / $173.78
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $158.49 / $158.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $75.86 / $89.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $70.79 / $100.00