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Virginia 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
$153.02 / $233.01 / $919.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.67 / $153.02 / $191.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.48 / $309.48 / $328.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.65 / $186.65 / $238.79
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.00 / $166.00 / $211.55
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 / $230.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.64 / $278.52 / $371.38
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.68 / $190.34 / $352.29
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.00 / $386.85 / $515.50
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.55 / $233.57 / $386.85
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.55 / $233.57 / $386.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.29 / $153.02 / $164.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.55 / $154.40 / $232.58