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Washington rates for HCPCS L0172

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

Facilitymedian $155 · 10th–90th $105$3470%10%20%10th90th$155Professionalmedian $105 · 10th–90th $71$2140%10%10th90th$105$2.0$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$104.71 / $109.65 / $323.59
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $87.10 / $158.49
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $154.88 / $213.80
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$134.90 / $151.36 / $151.36
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $134.90 / $173.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$114.82 / $114.82 / $141.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $114.82
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $213.80 / $436.52
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $194.98 / $331.13
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $117.49 / $128.82
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$123.03 / $151.36 / $154.88
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $147.91 / $147.91
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$134.90 / $223.87 / $309.03
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $128.82 / $151.36
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $151.36 / $151.36
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $134.90 / $173.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $194.98 / $234.42
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $77.62 / $134.90
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $134.90 / $234.42