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North Dakota 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
$107.15 / $107.15 / $117.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $85.11 / $117.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $165.96 / $177.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $199.53 / $245.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $141.25 / $758.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $74.13 / $147.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $234.42 / $234.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $79.43 / $181.97