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Idaho 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
$31.50 / $31.50 / $31.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.96 / $106.60 / $112.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.09 / $77.09 / $101.81
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 / $96.14 / $128.04
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.24 / $121.64 / $128.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $94.49 / $112.54
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.12 / $125.04 / $187.56
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.63 / $89.63 / $134.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.15 / $60.74 / $96.33