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Montana 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
$63.96 / $468.35 / $468.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.89 / $118.89 / $118.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.09 / $127.83 / $127.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.09 / $103.95 / $127.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.87 / $121.74 / $127.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.09 / $95.94 / $127.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.89 / $60.74 / $92.94