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Illinois 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
$36.31 / $87.10 / $323.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $87.10 / $223.87
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $120.23 / $134.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $331.13 / $1,174.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $128.82 / $128.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $114.82 / $162.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $85.11 / $173.78
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $204.17 / $263.03
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $223.87 / $223.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $69.18 / $97.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $138.04 / $234.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $85.11 / $125.89