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Maine rates for HCPCS L0172

Cervical, collar, semi-rigid thermoplastic foam, two piece, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.69 / $86.82 / $86.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.21 / $164.81 / $305.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.77 / $91.27 / $91.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.28 / $115.38 / $115.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.23 / $84.23 / $115.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.80 / $115.80 / $115.80
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.54 / $86.82 / $89.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.98 / $115.80 / $158.44