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Indiana 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
$834.64 / $834.64 / $1,686.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$802.54 / $837.73 / $905.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,332.20 / $1,509.27 / $1,686.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$844.86 / $916.09 / $1,264.20
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,271.60 / $1,854.96 / $2,529.50
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,433.38 / $1,854.96 / $2,276.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$941.33 / $941.33 / $1,686.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.17 / $941.33 / $1,729.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.04 / $814.18 / $1,132.35