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Illinois 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
$66.29 / $66.29 / $109.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.43 / $66.29 / $101.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.22 / $260.93 / $1,109.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.08 / $98.01 / $98.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.09 / $77.09 / $177.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.28 / $77.09 / $149.63
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.83 / $145.86 / $186.29
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.65 / $167.65 / $167.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.04 / $97.21 / $102.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.62 / $64.34 / $110.46