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Arizona 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
Professional
Modifier
Low / Median / High Price
$658.38 / $839.17 / $1,110.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.02 / $1,427.02 / $2,580.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$987.56 / $1,316.75 / $1,794.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$941.33 / $941.33 / $941.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.17 / $687.17 / $1,954.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$485.19 / $1,099.77 / $7,852.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$678.59 / $751.55 / $1,132.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.27 / $751.55 / $1,132.10