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Rhode Island 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
Professional
Modifier
Low / Median / High Price
$102.67 / $185.87 / $244.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$583.41 / $787.98 / $932.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $269.52 / $373.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.42 / $238.68 / $244.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.99 / $216.42 / $244.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.02 / $153.02 / $153.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.19 / $205.86 / $343.10