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Maine 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
Professional
Modifier
Low / Median / High Price
$180.30 / $250.46 / $250.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$367.00 / $475.49 / $881.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.65 / $197.49 / $197.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.42 / $216.42 / $303.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.99 / $157.99 / $216.42
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.10 / $334.10 / $334.10
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.87 / $232.34 / $250.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.34 / $153.02 / $153.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.24 / $205.86 / $473.43