go back

Arizona 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
$64.93 / $69.79 / $123.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.62 / $153.94 / $278.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.54 / $142.05 / $193.54
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 / $56.28 / $149.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.21 / $108.46 / $645.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.84 / $60.74 / $92.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.89 / $60.74 / $91.49