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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
$66.07 / $66.07 / $131.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $67.61 / $125.89
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $81.28 / $81.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $251.19 / $891.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $97.72 / $97.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $77.62 / $181.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $151.36
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $144.54 / $181.97
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
$165.96 / $165.96 / $165.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $67.61 / $97.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $102.33 / $199.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $64.57 / $107.15