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North Dakota 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
$88.58 / $88.58 / $88.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.12 / $88.58 / $89.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.82 / $134.58 / $137.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.63 / $151.12 / $190.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.50 / $89.61 / $645.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.50 / $60.74 / $101.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.49 / $67.43 / $128.96