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Indiana 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
$10.85 / $134.40 / $216.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.54 / $85.90 / $91.82
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.45 / $139.19 / $139.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.81 / $152.72 / $170.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.24 / $85.77 / $118.36
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.19 / $187.70 / $255.96
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.04 / $187.70 / $230.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.38 / $115.38 / $170.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.23 / $115.38 / $159.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.57 / $81.33 / $114.02