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Montana rates for HCPCS L0172

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

Facilitymedian $145 · 10th–90th $100–$4370%20%40%10th90th$145Professionalmedian $91 · 10th–90th $62–$1620%20%10th90th$91$50.0$200.0$1.0K$5.0K$20.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $89.13 / $162.18
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $69,183.10 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $144.54 / $144.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$114.82 / $154.88 / $154.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $154.88 / $154.88
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$114.82 / $144.54 / $281.84
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $144.54 / $281.84
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $138.04 / $186.21
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $117.49 / $154.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $75.86 / $89.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $70.79 / $109.65