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Delaware 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
Professional
Modifier
Low / Median / High Price
$127.37 / $140.91 / $204.45
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 / $244.45
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.98 / $212.81 / $216.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.25 / $153.02 / $153.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.92 / $154.40 / $232.58