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Arkansas 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
$942.31 / $942.31 / $942.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$702.48 / $942.31 / $942.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219,999.78 / $539,999.46 / $949,999.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,463.55 / $1,937.05 / $2,152.28
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,645.94 / $1,645.94 / $1,695.48
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,645.94 / $1,645.94 / $1,645.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$941.33 / $941.33 / $1,356.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.17 / $941.33 / $1,324.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.04 / $763.67 / $1,021.53