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Minnesota 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
$89.13 / $89.13 / $89.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $72.44 / $112.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $128.82 / $190.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $128.82 / $128.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $478.63 / $1,148.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $169.82 / $190.55
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $478.63 / $912.01
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $151.36 / $204.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $128.82 / $263.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $60.26 / $165.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $60.26 / $165.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $64.57 / $154.88