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Alabama rates for HCPCS L0112

Cranial Cervical Orthosis Congenital Torticollis Type With Or Without Soft Interface Material Adjustable Range Of Motion Joint Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,529.16 / $1,529.16 / $1,529.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.86 / $1,529.16 / $1,529.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,215.83 / $1,215.83 / $1,215.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$941.33 / $941.33 / $1,686.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.17 / $941.33 / $1,476.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.04 / $751.55 / $1,164.46