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Rhode Island 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
$537.03 / $537.03 / $537.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $72.44 / $213.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $275.42 / $323.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $91.20 / $147.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $79.43 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $77.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $74.13 / $165.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $74.13 / $114.82