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Massachusetts 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
$60.68 / $60.68 / $60.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.42 / $60.68 / $101.44
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.09 / $261.79 / $771.02
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.15 / $96.33 / $135.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.41 / $179.34 / $230.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.94 / $100.94 / $100.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.09 / $80.33 / $100.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.28 / $77.09 / $132.76
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.45 / $112.45 / $118.07
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.60 / $89.60 / $89.60
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.79 / $771.02 / $771.02
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.62 / $69.29 / $135.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.47 / $69.29 / $135.63