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North Carolina rates for HCPCS L0172

Cervical Collar Semi-Rigid Thermoplastic Foam Two-Piece Prefabricated Off-The-Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.40 / $140.09 / $228.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.47 / $150.85 / $187.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.12 / $165.74 / $314.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.28 / $129.19 / $137.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.56 / $115.38 / $115.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.23 / $115.38 / $198.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.07 / $150.85 / $196.11
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.00 / $97.00 / $117.14
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.80 / $283.36 / $304.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.47 / $83.25 / $121.36
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.17 / $851.77 / $851.77
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$860.74 / $860.74 / $1,236.53