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North Carolina 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
$107.92 / $270.99 / $676.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.67 / $270.99 / $270.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.94 / $459.06 / $565.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.90 / $232.11 / $247.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.44 / $216.42 / $216.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.99 / $216.42 / $388.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.68 / $270.99 / $352.29
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.00 / $174.00 / $210.43
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.40 / $509.06 / $571.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.96 / $153.02 / $164.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.83 / $154.40 / $234.25
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$516.66 / $1,960.04 / $1,960.04
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,216.79 / $2,216.79 / $2,321.10