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Wisconsin rates for HCPCS L0150

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

Facilitymedian $132 · 10th–90th $78$2190%50%10th90th$132Professionalmedian $87 · 10th–90th $60$2000%20%10th90th$87$0.1$0.5$2.0$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $125.89 / $134.90
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $66.07 / $102.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$131.83 / $131.83 / $218.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $123.03 / $147.91
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77.62 / $302.00 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $186.21 / $251.19
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $107.15 / $162.18
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $190.55 / $239.88
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $128.82 / $645.65
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $74.13 / $151.36
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $63.10 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $208.93 / $208.93
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $147.91 / $257.04
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $199.53 / $380.19
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77.62 / $263.03 / $776.25
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $112.20 / $776.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $70.79 / $131.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $64.57 / $109.65