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Colorado 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
$954.70 / $954.70 / $954.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$716.27 / $954.70 / $1,276.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,704.83 / $1,915.55 / $3,477.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$916.09 / $916.09 / $989.38
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 / $1,795.56
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$485.19 / $954.70 / $2,131.04
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.19 / $485.19 / $485.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,244.53 / $2,131.04 / $3,375.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$682.41 / $751.55 / $1,132.10