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Tennessee 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
$77.51 / $117.90 / $483.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.75 / $78.94 / $108.68
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.96 / $129.19 / $146.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.65 / $155.04 / $155.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.45 / $115.38 / $141.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.23 / $84.23 / $115.38
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.17 / $749.92 / $851.77
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$860.74 / $860.74 / $1,236.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.30 / $82.12 / $113.57