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Utah 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
$46.07 / $55.54 / $69.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.07 / $78.47 / $517.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.38 / $115.38 / $141.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.23 / $115.38 / $141.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.25 / $108.47 / $141.01
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.10 / $145.10 / $145.10
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.63 / $104.01 / $156.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.87 / $71.36 / $83.81