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Kentucky 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
$871.44 / $903.72 / $903.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$762.79 / $871.44 / $905.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,055.44 / $1,695.48 / $1,781.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$793.02 / $904.78 / $916.09
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,271.60 / $2,360.86 / $2,715.80
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,610.71 / $2,107.91 / $2,797.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$941.33 / $941.33 / $1,986.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.17 / $941.33 / $8,087.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $1,484.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.90 / $833.79 / $1,356.38