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Ohio 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
$81.06 / $119.95 / $155.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.72 / $91.65 / $101.57
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.99 / $95.99 / $127.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.22 / $187.70 / $486.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.24 / $85.77 / $224.22
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.04 / $145.04 / $145.04
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.98 / $170.64 / $230.36
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.98 / $155.04 / $365.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.38 / $115.38 / $201.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.23 / $84.23 / $141.93
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.38 / $115.38 / $141.93
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.23 / $115.38 / $115.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.38 / $99.52 / $130.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.75 / $80.13 / $109.00