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Massachusetts 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
$62.50 / $62.50 / $98.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.13 / $69.52 / $108.68
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.50 / $346.40 / $851.77
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.43 / $108.91 / $139.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.82 / $184.70 / $237.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.54 / $133.16 / $184.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.73 / $105.13 / $115.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.23 / $115.38 / $175.69
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.80 / $115.80 / $121.59
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.80 / $82.80 / $98.11
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.79 / $80.79 / $80.79
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.40 / $851.77 / $851.77
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.98 / $76.45 / $139.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.48 / $109.19 / $137.74