go back

Pennsylvania rates for HCPCS L0190

Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars (SOMI, Guilford, Taylor types)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.67 / $229.67 / $888.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.40 / $263.88 / $344.34
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.94 / $558.07 / $558.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.04 / $419.04 / $611.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.89 / $305.89 / $588.92
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.01 / $611.97 / $1,162.74
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.67 / $229.67 / $888.82
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.40 / $263.88 / $385.83
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$414.50 / $834.70 / $1,205.70
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.04 / $419.04 / $611.97
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.89 / $305.89 / $743.25
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.99 / $531.16 / $531.16
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.99 / $531.16 / $610.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.66 / $279.58 / $503.27