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North Carolina 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
$1,484.62 / $1,484.62 / $2,561.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.86 / $1,484.62 / $1,484.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,544.57 / $2,515.00 / $3,097.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,180.39 / $1,271.60 / $1,356.38
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 / $941.33 / $1,954.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$485.19 / $1,484.62 / $1,930.01
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,020.00 / $1,020.00 / $1,152.82
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,975.10 / $2,788.85 / $3,036.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.04 / $838.31 / $1,194.31
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,649.18 / $7,852.81 / $7,852.81
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,490.04 / $8,490.04 / $12,344.55