go back

New Hampshire 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
$78.20 / $78.20 / $93.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.59 / $60.68 / $84.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.88 / $138.88 / $164.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.05 / $74.05 / $77.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.09 / $77.09 / $100.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.28 / $56.28 / $82.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.45 / $112.45 / $347.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.19 / $69.29 / $82.27
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.02 / $114.42 / $145.63