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Wyoming 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
$202.71 / $202.71 / $316.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$353.50 / $353.50 / $353.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.50 / $353.50 / $353.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.42 / $216.42 / $360.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.99 / $157.99 / $216.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.58 / $153.02 / $153.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.55 / $154.40 / $171.41