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Mississippi 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
$954.99 / $954.99 / $1,513.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $912.01 / $1,513.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $1,318.26 / $1,318.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,318.26 / $1,318.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $933.25 / $933.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $691.83 / $933.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $1,348.96 / $2,041.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $812.83 / $1,148.15