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Vermont 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 / $201.36 / $232.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.64 / $167.64 / $167.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.84 / $333.84 / $333.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.42 / $216.42 / $303.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.99 / $216.42 / $244.45
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.42 / $216.42 / $303.29
MVP Health Care
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 / $193.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.24 / $244.43 / $477.03