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Utah 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
$39.21 / $39.21 / $39.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.21 / $55.43 / $468.35
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 / $77.09 / $100.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.30 / $88.87 / $115.53
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.60 / $118.89 / $118.89
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.70 / $85.22 / $127.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.56 / $60.19 / $71.33