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Illinois 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
$166.38 / $172.46 / $245.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.91 / $175.65 / $279.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.68 / $677.88 / $2,886.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.50 / $255.00 / $255.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.42 / $216.42 / $360.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.99 / $216.42 / $388.88
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.20 / $403.89 / $503.20
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
$436.19 / $436.19 / $436.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.02 / $252.89 / $265.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.55 / $153.02 / $335.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.66 / $167.39 / $296.41