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Missouri 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
$878.45 / $878.45 / $1,170.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$866.74 / $910.40 / $1,258.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,678.05 / $1,761.95 / $7,745.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$856.57 / $916.09 / $1,380.23
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 / $969.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$839.89 / $1,358.23 / $7,852.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.66 / $837.16 / $2,039.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.66 / $837.16 / $1,274.05