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Minnesota rates for HCPCS L0150

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

Facilitymedian $141 · 10th–90th $98–$9330%20%10th90th$141Professionalmedian $129 · 10th–90th $65–$1510%50%10th90th$129$0.1$0.5$2.0$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89.13 / $89.13 / $89.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $75.86 / $89.13
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$125.89 / $128.82 / $165.96
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $128.82 / $128.82
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $489.78 / $1,148.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $169.82 / $190.55
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$389.05 / $478.63 / $933.25
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $151.36 / $204.17
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $128.82 / $645.65
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $60.26 / $165.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.98 / $60.26 / $199.53
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $70.79 / $181.97