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Cervical Collar, Semi-Rigid, Adjustable Molded Chin Cup

South Dakota rates for HCPCS L0150

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

Rates data updated July 2026.

How much does Cervical Collar, Semi-Rigid, Adjustable Molded Chin Cup cost?

$112

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $112 for this service. The price depends on where it is billed: about $112 from a physician practice, and about $123 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$112$89.13 to $151
FacilityA hospital or hospital-owned outpatient department$123$93.33 to $151

How much rates vary

Facilitymedian $123 · 10th to 90th $78 to $182Professionalmedian $112 · 10th to 90th $83 to $186
$50.0$100.0$200.0$500.0facility $123professional $112

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$89.13
Typical High
$112.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$181.97
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$186.21
Medica
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$123.03
Typical High
$229.09
Medica
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$87.10
Typical High
$776.25
Midlands
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$177.83
Typical High
$177.83
Midlands
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
Midlands
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$218.78
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$123.03
Typical High
$162.18
United
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$70.79
Typical High
$102.33
United
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$93.33
Typical High
$151.36
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18

Where South Dakota sits

The same service costs 3.2 times more in Hawaii than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

South Dakota $112 · 7th of 51
HI $174DC $54.95

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.