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Hawaii 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
$560.33 / $560.33 / $560.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,307.54 / $1,307.54 / $1,307.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$941.33 / $941.33 / $1,810.53
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,645.94 / $1,723.50 / $1,723.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,152.16 / $1,645.94 / $2,304.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,147.06 / $1,307.54 / $1,810.53
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,325.86 / $1,371.30 / $1,566.63