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Kentucky 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
$51.99 / $88.54 / $91.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.99 / $85.90 / $91.82
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.48 / $129.19 / $146.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.24 / $172.27 / $181.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.58 / $83.24 / $85.77
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.19 / $232.56 / $273.02
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.66 / $213.30 / $284.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.38 / $115.38 / $201.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.23 / $115.38 / $302.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.03 / $109.80 / $137.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.30 / $83.25 / $137.82