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Arizona rates for HCPCS L0150

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

Facilitymedian $132 · 10th–90th $43–$3160%10%10th90th$132Professionalmedian $68 · 10th–90th $56–$1260%20%40%10th90th$68$0.1$0.5$2.0$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $69.18 / $123.03
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $177.83 / $331.13
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $162.18 / $309.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77.62 / $77.62 / $77.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $77.62
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $109.65 / $645.65
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $60.26 / $776.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $81.28 / $131.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $60.26 / $91.20