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Tennessee 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
$31.24 / $63.44 / $69.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.63 / $64.62 / $118.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.02 / $126.92 / $126.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.08 / $77.09 / $100.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.28 / $56.28 / $77.09
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.34 / $645.14 / $771.02
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$779.14 / $779.14 / $1,044.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.90 / $67.22 / $91.49