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Connecticut rates for HCPCS L0174

Cervical Collar Semi-Rigid Thermoplastic Foam Two Piece With Thoracic Extension Prefabricated Off-The-Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.56 / $200.56 / $200.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.68 / $185.87 / $200.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.80 / $412.64 / $472.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.65 / $186.65 / $197.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.42 / $216.42 / $244.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.99 / $157.99 / $216.42
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$268.22 / $268.22 / $268.22
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.16 / $268.22 / $340.43
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.62 / $196.62 / $196.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.52 / $127.52 / $153.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.19 / $202.23 / $343.10