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Tennessee 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
$139.22 / $154.26 / $220.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.66 / $146.97 / $243.65
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.22 / $464.22 / $464.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.40 / $278.52 / $278.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.43 / $216.42 / $244.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.99 / $157.99 / $216.42
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$516.66 / $1,611.98 / $1,960.04
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,164.82 / $2,216.79 / $2,321.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.55 / $153.02 / $186.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.93 / $151.18 / $221.50