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West Virginia 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
$175.86 / $344.96 / $361.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.04 / $159.88 / $200.56
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$201.16 / $417.80 / $541.59
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.16 / $216.64 / $371.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.42 / $244.45 / $396.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.99 / $216.42 / $1,660.20
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$343.79 / $343.79 / $343.79
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.98 / $208.98 / $208.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.02 / $153.02 / $153.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.41 / $165.43 / $257.33