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Wyoming 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
$63.36 / $63.36 / $63.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.20 / $83.20 / $130.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.10 / $145.10 / $145.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.10 / $145.10 / $145.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.38 / $115.38 / $159.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.23 / $84.23 / $115.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.48 / $71.36 / $79.22