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Vermont rates for HCPCS L0172

Cervical, collar, semi-rigid thermoplastic foam, two piece, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.45 / $69.80 / $85.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.72 / $115.72 / $115.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.13 / $115.38 / $141.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.23 / $113.14 / $122.99
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.13 / $115.38 / $141.93
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.23 / $115.38 / $141.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.57 / $84.73 / $165.35