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Alaska rates for HCPCS L0150

Cervical, semi-rigid, adjustable molded chin cup (plastic collar with mandibular/occipital piece)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.68 / $135.68 / $135.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.09 / $77.09 / $77.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.28 / $77.09 / $82.18
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.21 / $39.21 / $39.21
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.64 / $150.47 / $237.59
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.21 / $39.21 / $77.09
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.28 / $82.18 / $150.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.56 / $151.46 / $197.55