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Missouri 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
$34.50 / $108.68 / $132.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.72 / $81.23 / $112.89
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.55 / $106.55 / $135.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.63 / $151.87 / $667.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.58 / $85.77 / $117.02
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 / $84.23 / $127.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.72 / $117.07 / $749.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.12 / $72.16 / $175.81
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.07 / $146.07 / $146.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.07 / $72.16 / $137.91