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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 October 2026.

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

$123

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $123 for this service. The price depends on where it is billed: about $123 from a physician practice, and about $141 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$123$81.28 to $162
FacilityA hospital or hospital-owned outpatient department$141$110 to $151

How much rates vary

Facilitymedian $141 · 10th to 90th $89 to $229Professionalmedian $123 · 10th to 90th $55 to $178
$50$100$200$500facility $141professional $123

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
Aetna
Setting
Professional
Modifier
None
Typical Low
$83.18
Median
$83.18
Typical High
$91.20
Cigna
Setting
Facility
Modifier
None
Typical Low
$77.62
Median
$77.62
Typical High
$181.97
Cigna
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$177.83
Typical High
$186.21
Medica
Setting
Facility
Modifier
None
Typical Low
$109.65
Median
$141.25
Typical High
$229.09
Medica
Setting
Professional
Modifier
None
Typical Low
$48.98
Median
$77.62
Typical High
$776.25
Midlands
Setting
Professional
Modifier
None
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
Midlands
Setting
Facility
Modifier
None
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
Midlands
Setting
Professional
Modifier
None
Typical Low
$147.91
Median
$147.91
Typical High
$218.78
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$104.71
Median
$123.03
Typical High
$141.25
United
Setting
Professional
Modifier
None
Typical Low
$48.98
Median
$67.61
Typical High
$102.33
Wellmark
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$162.18
Typical High
$162.18

Where South Dakota sits

The same service costs 3.1 times more in Hawaii than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

South Dakota· 7th of 51

$123

HI $174DE $56.23

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.