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Washington, DC 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
$673.65 / $673.65 / $673.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$673.65 / $673.65 / $673.65
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,001.33 / $1,001.33 / $1,001.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.17 / $687.17 / $687.17
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,069.85 / $1,069.85 / $3,267.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$547.41 / $821.14 / $1,537.21