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Washington, DC 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
$126.67 / $126.67 / $126.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.67 / $126.67 / $185.87
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.00 / $166.00 / $211.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.99 / $157.99 / $157.99
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.16 / $201.16 / $614.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.93 / $154.40 / $289.02