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Mississippi 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
$173.43 / $173.43 / $276.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.81 / $197.82 / $276.41
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.16 / $258.16 / $334.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.82 / $239.82 / $239.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.82 / $239.82 / $239.82
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 / $244.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.55 / $153.02 / $153.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.93 / $146.91 / $237.92