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Minnesota 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
$233.14 / $233.14 / $233.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.10 / $185.87 / $263.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.43 / $335.53 / $467.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.42 / $318.75 / $335.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.42 / $1,035.58 / $2,876.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.88 / $412.21 / $493.87
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$614.80 / $993.59 / $2,264.76
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.88 / $388.88 / $400.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.67 / $335.53 / $1,611.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.83 / $180.13 / $358.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.47 / $153.02 / $154.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.93 / $172.41 / $452.97