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Michigan 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
$78.05 / $191.62 / $412.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.65 / $191.62 / $204.45
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.11 / $232.11 / $232.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.84 / $1,011.82 / $1,842.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.75 / $335.53 / $452.97
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$201.16 / $201.16 / $218.09
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.42 / $268.42 / $268.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.42 / $216.42 / $244.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.42 / $216.42 / $388.88
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.05 / $242.47 / $412.07
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.87 / $242.47 / $402.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.59 / $248.29 / $285.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.54 / $153.02 / $195.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.89 / $157.57 / $240.14