go back

Massachusetts 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
$719.15 / $719.15 / $719.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$719.15 / $719.15 / $1,054.15
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,472.63 / $4,688.67 / $7,852.81
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$682.41 / $1,222.68 / $1,607.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,797.16 / $2,125.40 / $2,737.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,077.77 / $1,077.77 / $1,268.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$941.33 / $941.33 / $1,209.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.17 / $941.33 / $1,954.88
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,332.63 / $1,332.63 / $1,399.26
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,201.58 / $1,201.58 / $1,201.58
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,423.25 / $7,852.81 / $7,852.81
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$626.29 / $821.14 / $1,607.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$636.97 / $879.82 / $1,607.36