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Oregon 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
$13.81 / $322.92 / $1,105.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.20 / $85.90 / $160.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.38 / $115.38 / $115.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.23 / $84.23 / $115.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.13 / $303.27 / $395.54
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.66 / $126.94 / $154.47
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.86 / $145.19 / $162.19
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.61 / $148.58 / $163.74
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.61 / $154.47 / $169.92
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.66 / $132.50 / $162.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.23 / $135.26 / $169.92
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.69 / $256.88 / $541.92
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.84 / $169.92 / $169.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.17 / $71.36 / $136.13