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Illinois 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
$141.25 / $173.78 / $616.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $181.97 / $338.84
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $251.19 / $338.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $645.65 / $2,290.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $257.04 / $257.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $218.78 / $371.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $158.49 / $363.08
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $407.38 / $501.19
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $436.52 / $436.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $177.83 / $251.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $269.15 / $501.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $165.96 / $257.04