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Alaska rates for HCPCS L0174

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.58 / $421.99 / $557.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.42 / $216.42 / $216.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.99 / $216.42 / $230.72
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.68 / $99.68 / $99.68
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.97 / $467.99 / $738.93
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.68 / $99.68 / $216.42
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.99 / $230.72 / $381.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.02 / $164.30 / $164.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.09 / $471.04 / $614.40