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Iowa 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
$233.14 / $233.14 / $263.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.37 / $185.87 / $279.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.42 / $216.42 / $360.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.42 / $388.88 / $486.09
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.05 / $383.06 / $428.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.77 / $420.67 / $1,611.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.02 / $180.13 / $447.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.27 / $360.33 / $470.15
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.56 / $420.90 / $688.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.52 / $153.02 / $183.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.02 / $163.41 / $385.39
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$321.02 / $321.02 / $321.02
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.61 / $321.02 / $321.02