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Maryland 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
Professional
Modifier
Low / Median / High Price
$673.65 / $719.15 / $1,286.67
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,001.33 / $1,001.33 / $1,125.15
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 / $687.17 / $941.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,152.16 / $1,645.94 / $2,370.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$636.97 / $821.14 / $1,308.88
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$911.57 / $911.57 / $1,152.16