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Maine rates for HCPCS L0150

Cervical, semi-rigid, adjustable molded chin cup (plastic collar with mandibular/occipital piece)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.68 / $84.30 / $84.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.53 / $160.04 / $296.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.05 / $77.70 / $77.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.09 / $77.09 / $102.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.28 / $56.28 / $77.09
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.45 / $112.45 / $112.45
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.06 / $84.30 / $84.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.19 / $69.29 / $159.34