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Louisiana 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
$916.27 / $972.65 / $1,310.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$805.17 / $942.31 / $1,057.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,475.61 / $2,520.86 / $3,543.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,006.33 / $1,203.68 / $1,203.68
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
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 / $941.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.04 / $782.00 / $1,150.08