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Arizona 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
$162.81 / $185.87 / $880.91
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.48 / $317.73 / $371.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.68 / $331.19 / $598.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.29 / $305.58 / $393.45
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 / $157.99 / $388.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.68 / $275.72 / $1,611.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.40 / $154.40 / $232.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.47 / $153.02 / $171.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.55 / $154.40 / $232.58