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Washington, DC rates for HCPCS L0150

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.29 / $55.29 / $55.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.29 / $55.29 / $55.29
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.00 / $72.00 / $72.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.28 / $56.28 / $56.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.80 / $87.80 / $268.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.93 / $67.39 / $101.26