go back

Indiana 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
$63.83 / $63.83 / $229.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.38 / $66.29 / $72.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.88 / $115.42 / $128.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.92 / $74.05 / $102.18
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.77 / $141.86 / $193.44
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.62 / $141.86 / $174.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.09 / $77.09 / $128.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.28 / $77.09 / $132.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.49 / $63.59 / $93.59