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Connecticut 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
$799.97 / $799.97 / $799.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$716.27 / $786.79 / $799.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.59 / $1,645.94 / $1,883.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$916.09 / $916.09 / $961.33
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 / $941.33
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,069.85 / $1,069.85 / $1,069.85
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,069.85 / $1,069.85 / $1,514.26
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,201.58 / $1,201.58 / $1,201.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$626.65 / $821.14 / $1,368.56