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Idaho 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
$648.55 / $1,441.24 / $1,441.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$941.33 / $941.33 / $1,032.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.17 / $941.33 / $969.57
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$485.19 / $1,159.40 / $1,645.94
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,481.35 / $1,563.64 / $1,645.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $1,214.70 / $1,446.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,441.24 / $1,607.36 / $2,411.04
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,152.16 / $1,193.38 / $1,728.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.88 / $751.55 / $1,158.13