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Massachusetts 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
$180.30 / $180.30 / $242.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.36 / $180.30 / $232.34
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.66 / $834.84 / $1,960.04
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.18 / $279.68 / $402.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$437.97 / $532.84 / $686.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.85 / $402.61 / $518.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.42 / $238.68 / $289.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.99 / $216.42 / $345.05
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.10 / $334.10 / $350.80
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.62 / $196.62 / $196.62
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$684.80 / $1,960.04 / $1,960.04
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.24 / $205.86 / $402.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.25 / $153.02 / $164.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.24 / $205.86 / $334.10