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Missouri 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
$41.40 / $171.48 / $620.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.48 / $177.71 / $271.25
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.68 / $245.68 / $327.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.57 / $343.95 / $1,512.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.95 / $186.65 / $265.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.42 / $216.42 / $244.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.99 / $157.99 / $239.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.26 / $265.13 / $1,611.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.92 / $163.41 / $398.16
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.72 / $284.72 / $284.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.96 / $154.40 / $262.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.71 / $163.41 / $242.25