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West Virginia 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
$120.23 / $120.23 / $134.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $83.18 / $151.36
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $112.20 / $234.42
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $120.23 / $208.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $257.04 / $257.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $85.11 / $776.25
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $95.50 / $95.50
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $109.65 / $109.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $72.44 / $165.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $85.11 / $131.83