go back

Louisiana 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
$85.81 / $91.09 / $122.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.89 / $88.25 / $99.02
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.78 / $158.78 / $158.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.19 / $236.09 / $331.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.24 / $112.73 / $112.73
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.87 / $13.87 / $13.87
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 / $115.38 / $141.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.57 / $73.23 / $113.17