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Minnesota 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
$1,171.71 / $1,171.71 / $1,171.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$778.49 / $1,171.71 / $1,240.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,453.39 / $1,799.94 / $2,371.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,349.06 / $1,602.01 / $1,686.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$941.33 / $5,202.75 / $14,450.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,954.88 / $2,072.17 / $2,482.69
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,088.81 / $4,991.79 / $11,378.11
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,954.88 / $1,954.88 / $2,011.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$499.75 / $1,686.33 / $7,852.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.04 / $834.37 / $1,840.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.04 / $840.83 / $1,693.39