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Kansas 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
$1,389.56 / $1,389.56 / $1,389.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.19 / $910.40 / $1,389.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,216.28 / $1,327.03 / $1,407.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,317.18 / $1,317.18 / $1,317.18
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 / $941.33 / $2,443.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$485.19 / $1,352.37 / $7,852.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.04 / $837.16 / $2,143.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.04 / $834.37 / $1,121.23