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Vermont rates for HCPCS L0174

Cervical, collar, semi-rigid, thermoplastic foam, two piece with thoracic extension, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $190.55 / $234.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $134.90 / $134.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $331.13 / $331.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $218.78 / $302.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $158.49 / $245.47
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $323.59 / $416.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $194.98 / $204.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $245.47 / $851.14