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Wisconsin 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
$65.06 / $77.50 / $129.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.83 / $66.97 / $125.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.96 / $141.86 / $234.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.06 / $119.93 / $158.62
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.78 / $275.97 / $275.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.09 / $266.42 / $538.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.28 / $187.03 / $244.08
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.21 / $97.59 / $148.30
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.86 / $128.96 / $162.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.06 / $128.96 / $645.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.10 / $73.86 / $145.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $62.54 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.21 / $97.59 / $148.30
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.86 / $128.96 / $162.32
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.96 / $198.48 / $364.34
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.09 / $251.88 / $645.14
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.28 / $77.09 / $779.14
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.96 / $128.96 / $128.96
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.96 / $128.96 / $128.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.62 / $70.86 / $114.34