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Idaho rates for HCPCS L0174

Cervical, collar, semi-rigid, thermoplastic foam, two piece with thoracic extension, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.84 / $222.84 / $338.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.59 / $233.14 / $284.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.42 / $216.42 / $258.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.99 / $216.42 / $230.72
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.68 / $250.45 / $361.98
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.70 / $308.97 / $325.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $240.02 / $285.85
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$284.77 / $317.61 / $476.42
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.66 / $237.42 / $341.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.25 / $164.30 / $180.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.75 / $154.40 / $237.92